County of Shawano
Organization Active NPI Skilled Nursing Facility · Shawano, WI
NPI 1124028519 · NPPES record last updated Sep 10, 2007
Key facts
- NPI
- 1124028519
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2579 (WI)
- Legal business name
- COUNTY OF SHAWANO
- Practice address
- N4231 State Highway 22
Shawano, WI 54166-6130 - Phone
- (715) 526-3158
- Fax
- (715) 526-6823
- NPI assigned
- Jul 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Debbra R Kessen
- Title
- Accountant/Controller
- Phone
- (715) 526-3158
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2579 | WI | Yes |
Addresses
Primary practice location
N4231 State Highway 22
Shawano, WI 54166-6130
Mailing address
N4231 State Highway 22
Shawano, WI 54166-6130
Phone (715) 526-3158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20160600 | Medicaid | WI |
Other names
- Maple Lane Health Care Center
Other providers in Shawano, WI
- Vickiemarie Cloutier
- Jane Laurie Coleman
- Kylie Colwell
- Cornerstone Chiropractic & Wellness LLC
- Countryview Chiropractic Clinic, S.C.
- County of Shawano
- County of Shawano
- County of Shawano
- County of Shawano
- County of Shawano
All providers in Shawano, WI · Skilled Nursing 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 Sep 10, 2007. 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.