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NPI Code Detail

MEDICARE: HAMILTON CARE CENTER, LLC

MEDICARE: HAMILTON CARE CENTER, LLC
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 Facility2225WI

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 : 1922091149
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMILTON CARE CENTER, LLC
Provider Business Mailing Address
First Line : 1726 N BALLARD RD
Second Line :
City : APPLETON
State : WI
Zip : 54911-2444
Country : US
Telephone Number : 920-991-9072
Fax Number : 920-749-4021
Provider Business Practice Location Address
First Line : 1 HAMILTON DR
Second Line :
City : TWO RIVERS
State : WI
Zip : 54241-2335
Country : US
Telephone Number : 920-793-2261
Fax Number : 920-794-5934
Authorized Official
Title or Position : CFO
Name : ROBERT M PARKINS
Credential :
Telephone Number : 920-364-9754
Provider Enumeration Date : 08/23/2005
Last Update Date : 05/27/2015

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Directions to “HAMILTON CARE CENTER, LLC ” Practice Location

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