COUNTY OF LA CROSSE NPI 1013678770

NPI Information

NPI: 1013678770
Provider Name: COUNTY OF LA CROSSE
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
3501 PARK LANE DR
LA CROSSE, WI
ZIP 54601
Phone: (608) 789-4800
Get Directions

COUNTY OF LA CROSSE is an intermediate care facility mental illness in La Crosse, WI. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. COUNTY OF LA CROSSE NPI is 1013678770. The provider is registered as an organization entity type.

The provider's business location address is:

3501 PARK LANE DR
LA CROSSE, WI
ZIP 54601-747
Phone: (608) 789-4800

The provider's authorized official is Kelly Marie Kramer .
The authorized official title is Nursing Home Administrator and has the following contact phone number (608) 519-9357.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 1/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20128700	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »