Organization Active NPI

Oregon Manor

  • Skilled Nursing Facility
  • Oregon, WI
National Provider Identifier
1477598779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2604 Issued in WI
Legal business name
OREGON MANOR
Practice address
354 N Main St
Oregon, WI 53575-1426
Phone
(608) 835-3535
Fax
(608) 835-3890
NPI assigned
Jun 19, 2006
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
Rick Scollon, NHA
Title
Administrator
Phone
(608) 835-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2604 WI Primary

Addresses

Primary practice location

354 N Main St
Oregon, WI 53575-1426

Mailing address

354 N Main St
Oregon, WI 53575-1426
Phone (608) 835-3535

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477598779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 N MAIN ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751426",
            "telephone_number": "608-835-3535",
            "fax_number": "608-835-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N MAIN ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751426",
            "telephone_number": "608-835-3535",
            "fax_number": "608-835-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOLLON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-835-3535",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, 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.