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CLARK COUNTY NPI 1497812697


NPI Information

NPI: 1497812697
Provider Name: CLARK COUNTY
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 52D2033515

Address:
W4266 STATE RD. 29
OWEN, WI
ZIP 54460
Phone: (715) 229-2172
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CLARK COUNTY is a skilled nursing facility in Owen, WI. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. CLARK COUNTY NPI is 1497812697. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

W4266 STATE RD. 29
OWEN, WI
ZIP 54460
Phone: (715) 229-2172

The provider's authorized official is Jane Schmitz .
The authorized official title is Administrator and has the following contact phone number (715) 229-2172.

The CLIA number assigned to this NPI record is 52D2033515 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 9/28/2011.


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
1224Z00000XOccupational Therapy AssistantNo
2225100000XPhysical TherapistNo
3315P00000XIntermediate Care Facility, Intellectual Disabilities3014WISCONSINNo
4314000000XSkilled Nursing Facility2387WISCONSINYes

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
120150100MEDICAIDWISCONSIN
2525403MEDICARE OSCAR/CERTIFICATIONWISCONSIN
341011500MEDICAIDWISCONSIN
440415200MEDICAIDWISCONSIN
51072370001MEDICARE NSCWISCONSIN
621052400MEDICAIDWISCONSIN

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: 5/5/2024

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.