NPIMap

Organization Active NPI

La Crosse County

Doing business as Ravenwood Behavioral Health

  • Skilled Nursing Facility
  • West Salem, WI
National Provider Identifier
1699983221
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5025 Issued in WI
Legal business name
LA CROSSE COUNTY
Doing business as
Ravenwood Behavioral Health
Practice address
962 Garland St E
West Salem, WI 54669-1308
Phone
(608) 612-0651
NPI assigned
May 18, 2007
Last updated
Jan 13, 2017By the provider in NPPES
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
Ms. Wanda Plachecki, NHA
Title
Administrator
Phone
(608) 612-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5025 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) 612-0651

Other names 1

  • Ravenwood Behavioral Health Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1699983221",
    "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": "608-612-0651"
        },
        {
            "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": "608-612-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CROSSE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "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": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "5025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravenwood Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.