NPIMap

Organization Active NPI

Lakeview Health Center

  • Nursing Facility/Intermediate Care Facility
  • West Salem, WI
National Provider Identifier
1669467502
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2395 Issued in WI
Legal business name
LAKEVIEW HEALTH CENTER
Practice address
962 Garland St E
West Salem, WI 54669-1308
Phone
(608) 786-1400
Fax
(608) 793-6505
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mrs. Wanda Plachecki
Title
Administrator
Phone
(608) 612-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2395 WI Primary

Addresses

Primary practice location

962 Garland St E
West Salem, WI 54669-1308

Mailing address

962 Garland St E
West Salem, WI 54669-1308
Phone (608) 786-1400

Other identifiers 1

IdentifierTypeStateIssuer
20160400MedicaidWI

Other names 1

  • La Crosse County Other name

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Health Center22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

902 Garland St E
West Salem, WI 54669
Phone 6087861400 ext. 40166

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1669467502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 GARLAND ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691308",
            "telephone_number": "608-786-1400",
            "fax_number": "608-793-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 GARLAND ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691308",
            "telephone_number": "608-786-1400",
            "fax_number": "608-793-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "PLACHECKI",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-612-0640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "2395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20160400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Crosse County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.