Healthcare Provider Details

I. General information

NPI: 1700726965
Provider Name (Legal Business Name): CLEARSKY REHABILITATION HOSPITAL OF EAU CLAIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 BULLIS FARM RD
EAU CLAIRE WI
54701
US

IV. Provider business mailing address

5600 WYOMING BLVD NE STE 225
ALBUQUERQUE NM
87109-3136
US

V. Phone/Fax

Practice location:
  • Phone: 715-941-1405
  • Fax: 715-941-1406
Mailing address:
  • Phone: 505-317-3802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: KRISTI DUNCAN
Title or Position: CFO
Credential:
Phone: 505-317-3988