Crandon Nursing Home

LBN: Arizconsin Group Inc
Crandon Nursing Home is an health care organization with primary practice located at 105 W Pioneer St , Crandon WI 54520-1554. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Arizconsin Group Inc can be contacted via phone (715) 478-3324, or through Rau, Pamela I via phone (715) 478-3324.

Contact Information

Primary practice address
105 W Pioneer St Crandon WI 54520-1554
Phone: (715) 478-3324
Fax: (715) 478-5085
Website:
Map and Directions
Authorized official contact:
Name: Rau, Pamela I
Phone: (715) 478-3324

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2945 Wisconsin

Profile Details

NPI number 1609876655
LBN Legal business name Arizconsin Group Inc
DBA Doing business as Crandon Nursing Home
Authorized official Rau, Pamela I
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Aug 8th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609876655 NPPES
Wisconsin MEDICAID 20124900
Wisconsin Other 2945

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