Clark County Health Care Center

Organization Active NPI Occupational Therapy Assistant · Owen, WI

NPI 1982812426 · NPPES record last updated Sep 19, 2007

Key facts

NPI
1982812426
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
29-027 (WI)
Legal business name
CLARK COUNTY HEALTH CARE CENTER
Practice address
W4266 State Road 29
Owen, WI 54460-8932
Phone
(715) 229-2172
NPI assigned
May 18, 2007
Organization subpart
No

Authorized official

Name
Jane Schimdt
Title
Administrator
Phone
(715) 229-2172

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Clark County Health Dep (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
224Z00000X 29-027 WI Yes

Addresses

Primary practice location

W4266 State Road 29
Owen, WI 54460-8932

Mailing address

N13874 County Road O
Withee, WI 54498-9045

Other identifiers

IdentifierTypeStateIssuer
40608400MedicaidWI
29-027OtherWIO.T. LIC.

Other providers in Owen, WI

All providers in Owen, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.