CRC HEALTH GROUP INC.; NPI #1548302474

Contact Information

CRC HEALTH GROUP INC.

929 SUFFOLK DR
JANESVILLE, WI 53546-1821

Phone: 608-756-3546
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for CRC HEALTH GROUP INC.

NPI # 1548302474

LBN Legal business name CRC HEALTH GROUP INC.

Authorized official GLEN POFAHL - (CSAC)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/14/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

2689

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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