NPIMap

Organization Active NPI

The Bethany-St. Joseph Corporation D/B/a Prairie Pointe Rehab Suites

  • Skilled Nursing Facility
  • Altoona, WI
National Provider Identifier
1982155248
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE BETHANY-ST. JOSEPH CORPORATION D/B/A PRAIRIE POINTE REHAB SUITES
Practice address
286 N. Willson Dr
Altoona, WI 54720
Phone
(715) 598-7800
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Mr. Craig Donald Ubbelohde
Title
Executive Director
Phone
(608) 519-9775

Specialties & licenses 1

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

Addresses

Primary practice location

286 N. Willson Dr
Altoona, WI 54720

Mailing address

2501 Shelby Rd
La Crosse, WI 54601-8037
Phone (608) 788-5700

Other names 1

  • Prairie Pointe Rehab Suites Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Bethany-St Joseph Corporation Dba Prairie Pointe Rehab Suites6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1982155248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SHELBY RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018037",
            "telephone_number": "608-788-5700",
            "fax_number": "608-788-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N. WILLSON DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "54720",
            "telephone_number": "715-598-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BETHANY-ST. JOSEPH CORPORATION D/B/A PRAIRIE POINTE REHAB SUITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "UBBELOHDE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-519-9775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Pointe Rehab Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.