NPIMap

Organization Active NPI

Samaritan Health Center Subacute Unit

  • Skilled Nursing Facility
  • West Bend, WI
National Provider Identifier
1376530626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
P270 Issued in WI
Legal business name
SAMARITAN HEALTH CENTER SUBACUTE UNIT
Practice address
551 S Silverbrook Dr
West Bend, WI 53095-3868
Phone
(262) 334-8345
NPI assigned
Oct 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Chang
Title
Administrator
Phone
(262) 334-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X P270 WI Primary

Addresses

Primary practice location

551 S Silverbrook Dr
West Bend, WI 53095-3868

Mailing address

551 S Silverbrook Dr
West Bend, WI 53095-3868
Phone (262) 334-8345

National Provider Directory

National Provider Directory
Tax ID family
Washington County Community Recovery Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376530626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S SILVERBROOK DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953868",
            "telephone_number": "262-334-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S SILVERBROOK DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953868",
            "telephone_number": "262-334-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HEALTH CENTER SUBACUTE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-334-8345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "P270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.