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Contact Information

COUNTY OF OUTAGAMIE
3300 W BREWSTER ST
APPLETON, WI54914
 Phone: 920-832-5400
 Fax: 920-832-4922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for COUNTY OF OUTAGAMIE

NPI # 1639167430
LBN Legal business name COUNTY OF OUTAGAMIE
Authorized official DAVID ROTHMANN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2005
Last updated 05/11/2010 - About 16 years ago
Identifiers
WI License # 2371
WI Medicaid 20125400
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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