Healthcare Provider Details

I. General information

NPI: 1275529844
Provider Name (Legal Business Name): HEYDE HEALTH SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 CLEVELAND ST
EAU CLAIRE WI
54703-6003
US

IV. Provider business mailing address

345 FRENETTE DR
CHIPPEWA FALLS WI
54729-3372
US

V. Phone/Fax

Practice location:
  • Phone: 715-834-3400
  • Fax: 715-834-7271
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number510142
License Number StateWI

VIII. Authorized Official

Name: MR. DENNIS L HEYDE
Title or Position: PRESIDENT
Credential:
Phone: 715-726-9094