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Contact Information

POLK COUNTY-DEPT OF ADMINISTRATION
220 SCHOLL CT
AMERY, WI54001-1440
 Phone: 715-268-7107
 Fax: 715-268-6167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for POLK COUNTY-DEPT OF ADMINISTRATION

NPI Number 1215981998
LBN Legal business name POLK COUNTY-DEPT OF ADMINISTRATION
Authorized official DANA REESE - (NURSING HOME ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/19/2006
Last updated 12/09/2024 - More than a year ago
Identifiers
WI License # 2376
WI Medicaid 20133000
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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