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Contact Information

DODGE COUNTY MEDICAL FACILITIES
199 HOME RD
JUNEAU, WI53039-1401
 Phone: 920-386-3400
 Fax: 920-386-3800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for DODGE COUNTY MEDICAL FACILITIES

NPI Number 1780895227
LBN Legal business name DODGE COUNTY MEDICAL FACILITIES
Authorized official JANE HOOPER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2007
Last updated 10/02/2017 - About 9 years ago
Identifiers
WI License # 2391
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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