Woodlands of Oconto Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5009 Issued in WI

Legal business name

WOODLANDS OF OCONTO INC

Practice address

101 1St St
Oconto, WI 54153-1117

Phone

(920) 834-4575

Fax

(920) 834-2537

NPI assigned

Jun 24, 2005

Last updated

Nov 4, 2011By 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

Ms. Mary Dufek

Title

Administrator

Phone

(920) 834-4575

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1396741252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MANOR DR",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749182",
            "telephone_number": "920-842-1111",
            "fax_number": "920-842-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531117",
            "telephone_number": "920-834-4575",
            "fax_number": "920-834-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS OF OCONTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "DUFEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-834-4575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "5009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20191900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda K Westmoreland, PA
• Kyle Whiteside, DMD
• Julie A Whitworth, MS
• Wisconsin Sports Medicine and Orthopedics,S.C.
• Heide M Wold, RDH
• Joyce Hie Hie Yii, PHARMD

• Skilled Nursing Facility in Oconto, WI
• Providers in Oconto, 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 Nov 4, 2011; 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.