Eau Claire Academy HC2
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Eau Claire, WI
NPI 1942476809 · NPPES record last updated May 1, 2008
Key facts
- NPI
- 1942476809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 560002 (WI)
- Legal business name
- EAU CLAIRE ACADEMY HC2
- Practice address
- 550 N Dewey St
Eau Claire, WI 54703-3218 - Phone
- (715) 834-6681
- Fax
- (715) 834-9954
- NPI assigned
- May 1, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles Lee Albrent, M.P.A.
- Title
- Executive Director
- Phone
- (715) 834-6681
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Clinicare Corporation - Milwaukee Academy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 560002 | WI | Yes |
Addresses
Primary practice location
550 N Dewey St
Eau Claire, WI 54703-3218
Mailing address
550 N Dewey St
Eau Claire, WI 54703-3218
Phone (715) 834-6681
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41872900 | Medicaid | WI |
Other providers in Eau Claire, WI
- Robert Allen Dwyer
- David Douglas Easker
- Amanda Eastvold
- Margo Lynn Eaton
- Eau Claire Academy HC
- Eau Claire Anesthesiologists LTD
- Eau Claire Anesthesiologists LTD
- Eau Claire Area School District
- Eau Claire Chiropractic, SC
- Eau Claire County Department of Human Services
All providers in Eau Claire, WI · Emotionally Disturbed Childrens' Residential Treatment Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.