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NPI Code Detail

MEDICARE: HEYDE HEALTH SYSTEM, INC

MEDICARE: HEYDE HEALTH SYSTEM, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility3211WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003802661
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEYDE HEALTH SYSTEM, INC
Provider Business Mailing Address
First Line : 345 FRENETTE DR
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-3372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1311 TYLER ST
Second Line :
City : BLACK RIVER FALLS
State : WI
Zip : 54615-1564
Country : US
Telephone Number : 715-284-4396
Fax Number : 715-284-9580
Authorized Official
Title or Position : PRESIDENT
Name : MR. DENNIS L HEYDE
Credential :
Telephone Number : 715-726-9094
Provider Enumeration Date : 09/20/2005
Last Update Date : 08/22/2020

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Directions to “HEYDE HEALTH SYSTEM, INC ” Practice Location

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