MEDICARE: PLUM CITY CARE CENTER, 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
1	314000000X	Skilled Nursing Facility	3171	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1275743387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLUM CITY CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	301 CHERRY AVE W
Second Line	:
City	:	PLUM CITY
State	:	WI
Zip	:	54761-9781
Country	:	US
Telephone Number	:	715-647-2401
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 CHERRY AVE W
Second Line	:
City	:	PLUM CITY
State	:	WI
Zip	:	54761-9781
Country	:	US
Telephone Number	:	715-647-2401
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AMY FETZER
Credential	:
Telephone Number	:	715-647-2401

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1699926014 — MR. ROBERT STEVEN SHUTES PT
Practice Location Address:

301 CHERRY AVE W
PLUM CITY, WI
54761-9781

Practice Phone: 715-647-2401
Practice Fax:

1184055717 — ANNE MONETTE
Practice Location Address:

301 CHERRY AVE W
PLUM CITY, WI
54761-9781

Practice Phone: 715-647-2401
Practice Fax:

1578382123 — KAYLA NICOLE LYNUM
Practice Location Address:

301 CHERRY AVE W
PLUM CITY, WI
54761-9781

Practice Phone: 715-647-2401
Practice Fax:

1942253349 — MAIDEN ROCK, PLUM CITY, STOCKHOLM AREA AMBULANCE
Practice Location Address:

223 1ST ST
PLUM CITY, WI
54761-9002

Practice Phone: 715-647-2141
Practice Fax:

1730370982 — MRS. KASI M. GILLIS MSE, CCC-SLP
Practice Location Address:

621 MAIN ST
PLUM CITY, WI
54761-9044

Practice Phone: 715-647-2911
Practice Fax:

1083893788 — SCHOOL DISTRICT OF PLUM CITY
Practice Location Address:

907 MAIN ST
PLUM CITY, WI
54761-9013

Practice Phone: 715-647-2591
Practice Fax:

Directions to “PLUM CITY CARE CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.