HEADWATERS, INC.; NPI #1649547183

Contact Information

HEADWATERS, INC.

1441 E TIMBER DR
RHINELANDER, WI 54501-2887

Phone: 715-369-1337
Fax: 715-369-1793
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X
Bus	347B00000X
Day Training, Developmentally Disabled Services	251C00000X
Developmental Disabilities	261QD1600X
Early Intervention Provider Agency	252Y00000X

Indicates primary specialty

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NPI Profile & details for HEADWATERS, INC.

NPI #	`1649547183`
LBN Legal business name	HEADWATERS, INC.
Authorized official	MARY HARDTKE - (DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/29/2011
Last updated	11/29/2011 - About 15 years ago
Identifiers	n/a

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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