1235225616 STATE OF WISCONSIN
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- STATE OF WISCONSIN
- Enumeration Date
- October 5, 2006
- Last Update
- April 30, 2025
- Authorized Official
- CRAIG KOEHLER
DIRECTOR
Phone: (715) 723-5542
Practice Location
- Address
- 2820 EAST PARK AVENUE
CHIPPEWA FALLS, WI 547290340 - Phone
- (715) 723-7957
Mailing Address
- Address
- 2820 EAST PARK AVENUE
CHIPPEWA FALLS, WI 547290340 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 2753 | WI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21050200 | 05 | WI | N/A |
Frequently Asked Questions
What is STATE OF WISCONSIN's NPI number?
STATE OF WISCONSIN's NPI number is 1235225616.
Which doctor has NPI number 1235225616?
The doctor with NPI number 1235225616 is STATE OF WISCONSIN.
What is STATE OF WISCONSIN's practice address?
STATE OF WISCONSIN's practice address is 2820 EAST PARK AVENUE, CHIPPEWA FALLS, WI, 547290340.
Which doctor practices at 2820 EAST PARK AVENUE, CHIPPEWA FALLS, WI, 547290340?
STATE OF WISCONSIN practices at 2820 EAST PARK AVENUE, CHIPPEWA FALLS, WI, 547290340.
What is STATE OF WISCONSIN's phone number?
STATE OF WISCONSIN's phone number is (715) 723-7957.
Who is (715) 723-7957?
(715) 723-7957 is the phone number for STATE OF WISCONSIN.
What is STATE OF WISCONSIN's specialty?
STATE OF WISCONSIN's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is STATE OF WISCONSIN?
STATE OF WISCONSIN is a Intellectual Disabilities Intermediate Care Facility.
Is STATE OF WISCONSIN a Intermediate Care Facility, Intellectual Disabilities?
Yes, STATE OF WISCONSIN is a Intermediate Care Facility, Intellectual Disabilities.
Is STATE OF WISCONSIN still practicing?
Yes, STATE OF WISCONSIN is currently practicing.
Is STATE OF WISCONSIN accepting new patients?
STATE OF WISCONSIN may be accepting new patients. Please call their office at (715) 723-7957 to inquire about availability.
Is NPI 1235225616 still active?
Yes, NPI 1235225616 is currently active.
Where does STATE OF WISCONSIN practice?
STATE OF WISCONSIN practices in CHIPPEWA FALLS, WI.