Active NPI
Washington County Wisconsin
- Skilled Nursing Facility
- West Bend, WI
National Provider Identifier
1457345795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2385
- Legal business name
- WASHINGTON COUNTY WISCONSIN
- Practice address
- 531 E Washington St
West Bend, WI 53095-2531 - Phone
- (262) 335-4500
- Fax
- (262) 335-4699
- NPI assigned
- Sep 1, 2005
- Organization subpart
- Yes
- Parent organization
- WASHINGTON COUNTY WISCONSIN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trisha Holbrook
- Title
- Business Office Manager
- Phone
- (262) 335-6854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2385 | WI | Primary |
Addresses
Primary practice location
531 E Washington St
West Bend, WI 53095-2531
Mailing address
531 E Washington St
West Bend, WI 53095-2531
Phone (262) 335-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20135300 | Medicaid | WI |
Other names 1
- Samaritan Health Center
National Provider Directory
National Provider Directory- Part of
- Washington Co MH Ctr
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Behavioral Health Agency
- West Bend, WI
- NPI 1609801778
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566259200000",
"number": "1457345795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 E WASHINGTON ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530952531",
"telephone_number": "262-335-4500",
"fax_number": "262-335-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 E WASHINGTON ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530952531",
"telephone_number": "262-335-4500",
"fax_number": "262-335-4699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON COUNTY WISCONSIN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WASHINGTON COUNTY WISCONSIN",
"enumeration_date": "2005-09-01",
"last_updated": "2019-08-20",
"status": "A",
"authorized_official_last_name": "HOLBROOK",
"authorized_official_first_name": "TRISHA",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "262-335-6854"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "2385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20135300",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAMARITAN HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Samaritan Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Bend, WI
- Washington County Mental Health Center
- Washington County Mental Health Center
- Washington County Mental Health Center
- Washington County Mental Health Center
- Washington County Wisconsin
- Washington County Wisconsin
- Washington County Wisconsin
- Washington County Wisconsin
- Patricia Waters, OT
- Ninfa Weathersby, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.