Algoma Medical Center
Organization Active NPI Skilled Nursing Facility · Algoma, WI
NPI 1215910690 · NPPES record last updated Dec 7, 2011
Key facts
- NPI
- 1215910690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2952 (WI)
- Legal business name
- ALGOMA MEDICAL CENTER
- Practice address
- 1510 Fremont St
Algoma, WI 54201-1948 - Phone
- (920) 487-5511
- Fax
- (920) 487-2668
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Jeanne M Brandt, N.H.A., M.B.A.
- Title
- Nursing Home Administrator
- Phone
- (920) 487-5511
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2952 | WI | Yes |
Addresses
Primary practice location
1510 Fremont St
Algoma, WI 54201-1948
Mailing address
1510 Fremont St
Algoma, WI 54201-1948
Phone (920) 487-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20162700 | Medicaid | WI |
Other names
- Algoma Medical Center & LTC
Other providers in Algoma, WI
- Algoma Fama Dental LLC
- Algoma Health Opco LLC
- Algoma Hometown Pharmacy LLC
- Algoma Lakeview Dental Care, S.C.
- Aurora Pharmacy Inc
- Bellin Memorial Hospital Inc
- Bellin Psychiatric Center Inc
- William F Bluett
- Allycia E Bretl
All providers in Algoma, 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 Dec 7, 2011. 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.