Mulder Health Care Facility, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1031 Issued in WI

Legal business name

MULDER HEALTH CARE FACILITY, INC

Practice address

713 N Leonard St
West Salem, WI 54669-0850

Phone

(608) 786-1600

Fax

(608) 786-0740

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Gene Gilbertson, NURSING HOME ADMINIS

Title

Nursing Home Administrator

Phone

(608) 786-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mulder Nursing Home Other name

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447244108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N LEONARD ST",
            "address_2": "PO BOX 850",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546690850",
            "telephone_number": "608-786-1600",
            "fax_number": "608-786-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N LEONARD ST",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546690850",
            "telephone_number": "608-786-1600",
            "fax_number": "608-786-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULDER HEALTH CARE FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "608-786-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSING HOME ADMINIS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20137200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulder Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sam Adam Mason, DPT
• Midwest Respiratory Care Inc.
• Jade Altman Mikshowsky, DNP, APRN
• Vicki S Miller
• Mississippi Valley Health Services Commission
• Neighborhood Smiles of West Salem
• Neighborhood Smiles of West Salem, LLC
• O2 Life LLC
• Orion West Salem LLC
• Alexandra Overturf, RN

• Skilled Nursing Facility in West Salem, WI
• Providers in West Salem, 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 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.