County of Rusk Dba Rusk County Memorial Hospital and Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2349 Issued in WI

Legal business name

COUNTY OF RUSK DBA RUSK COUNTY MEMORIAL HOSPITAL AND NURSING HOME

Practice address

900 College Ave W
Ladysmith, WI 54848-2116

Phone

(715) 532-5561

Fax

(715) 532-9809

NPI assigned

Jan 16, 2007

Last updated

Sep 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James M Shaw

Title

Administrator

Phone

(715) 532-5561

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1316098478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COLLEGE AVE W",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548482116",
            "telephone_number": "715-532-5561",
            "fax_number": "715-532-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COLLEGE AVE W",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548482116",
            "telephone_number": "715-532-5561",
            "fax_number": "715-532-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RUSK DBA RUSK COUNTY MEMORIAL HOSPITAL AND NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-532-5561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Henderson Cernohous, NP
• Community Support Center of Rusk County
• County of Rusk (Rusk County Memorial Hospital)
• County of Rusk (Rusk County Memorial Hospital)
• County of Rusk
• Amanda Michelle Crabb, APNP
• Stephanie Shane Croft, FNP-BC
• D & M Home Care, Inc.
• Callie Francine Darrow, DDS
• Joel D. Dekrey, D.O.

• Skilled Nursing Facility in Ladysmith, WI
• Providers in Ladysmith, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.