Clinicare Corporation
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Prairie Du Chien, WI
NPI 1104984558 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1104984558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- CLINICARE CORPORATION
- Practice address
- 601 S Beaumont Rd
Prairie Du Chien, WI 53821-1909 - Phone
- (608) 326-6481
- Fax
- (608) 326-6166
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary Beth Specht
- Title
- Director
- Phone
- (608) 326-6481
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Clinicare Corporation - Milwaukee Academy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | WI | Yes |
Addresses
Primary practice location
601 S Beaumont Rd
Prairie Du Chien, WI 53821-1909
Mailing address
601 S Beaumont Rd
PO Box 269
Prairie Du Chien, WI 53821-1909
Phone (608) 326-6481
Other names
- Wyalusing Academy
Other providers in Prairie Du Chien, WI
- Michael D Bouzek
- Claire Bowar
- Nanci A Cherry
- Gregory Clark
- Kara Ann Clark
- Peggy Ann Corlett
- Joshua Michael Coughlin
- County of Crawford
- County of Crawford
- County of Crawford
All providers in Prairie Du Chien, WI · Emotionally Disturbed Childrens' Residential Treatment Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.