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NPI Code Detail

MEDICARE: WHEATON FRANCISCAN HEALTHCARE-FRANCISCAN WOODS

MEDICARE: WHEATON FRANCISCAN HEALTHCARE-FRANCISCAN WOODS
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 Facility12441-24WI

General Provider Information

NPI Number : 1841659935
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHEATON FRANCISCAN HEALTHCARE-FRANCISCAN WOODS
Provider Business Mailing Address
First Line : 19525 W NORTH AVE
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-4107
Country : US
Telephone Number : 262-785-1114
Fax Number :
Provider Business Practice Location Address
First Line : 19525 W NORTH AVE
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-4107
Country : US
Telephone Number : 262-785-1114
Fax Number :
Authorized Official
Title or Position : OTR/OPERATIONAL REHAB MANAGER
Name : MRS. PATRICIA BOGART
Credential : OTR
Telephone Number : 262-780-3813
Provider Enumeration Date : 02/17/2016
Last Update Date : 02/17/2016

Similar Medicare Providers

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1235151937 — WHEATON FRANCISCAN HEALTHCARE-MARIAN FRANCISCAN CENTER,INC
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1598016347 — CAREY ANN KOLACZ MS OTR/L
Practice Location Address:
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1912343823 — TRACY BRAS MD
Practice Location Address:
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1245692821 — AMANDA GASKA DPT
Practice Location Address:
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