1336109776 MEDICAID
Pediatric Skilled Nursing Facility
Active
Basic Information
- Organization Name
- MEDICAID
- Enumeration Date
- March 27, 2006
- Last Update
- August 22, 2020
- Authorized Official
- MISS LORI ANN FARRAGH
RN
Phone: (920) 450-8323
Practice Location
- Address
- 1125 GENEVA RD
MENASHA, WI 549521505 - Phone
- (920) 450-8323
Mailing Address
- Address
- 1125 GENEVA RD
MENASHA, WI 549521505 - Phone
- (920) 450-8323
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pediatric Skilled Nursing Facility Nursing Care, Pediatric | 3140N1450X | Skilled Nursing Facility | N/A | WI | No |
| Custodial Care Facility | 311Z00000X | Custodial Care Facility | N/A | WI | No |
Frequently Asked Questions
What is MEDICAID's NPI number?
MEDICAID's NPI number is 1336109776.
Which doctor has NPI number 1336109776?
The doctor with NPI number 1336109776 is MEDICAID.
What is MEDICAID's practice address?
MEDICAID's practice address is 1125 GENEVA RD, MENASHA, WI, 549521505.
Which doctor practices at 1125 GENEVA RD, MENASHA, WI, 549521505?
MEDICAID practices at 1125 GENEVA RD, MENASHA, WI, 549521505.
What is MEDICAID's phone number?
MEDICAID's phone number is (920) 450-8323.
Who is (920) 450-8323?
(920) 450-8323 is the phone number for MEDICAID.
What is MEDICAID's specialty?
MEDICAID's specialty is Pediatric Skilled Nursing Facility.
What type of doctor is MEDICAID?
MEDICAID is a Pediatric Skilled Nursing Facility.
Is MEDICAID a Nursing Care, Pediatric?
Yes, MEDICAID is a Nursing Care, Pediatric.
Is MEDICAID still practicing?
Yes, MEDICAID is currently practicing.
Is MEDICAID accepting new patients?
MEDICAID may be accepting new patients. Please call their office at (920) 450-8323 to inquire about availability.
Is NPI 1336109776 still active?
Yes, NPI 1336109776 is currently active.
Where does MEDICAID practice?
MEDICAID practices in MENASHA, WI.