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Contact Information

SIMON OSHKOSH PROPERTIES LLC
1850 BOWEN ST
OSHKOSH, WI54901-2356
 Phone: 920-233-4011
 Fax: 920-233-5177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SIMON OSHKOSH PROPERTIES LLC

NPI Number 1932282555
LBN Legal business name SIMON OSHKOSH PROPERTIES LLC
Authorized official STACEY ROGERS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 12/30/2014 - About 11 years ago
Identifiers
WI License # 3242
WI Medicaid 20193200
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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