Barron Riverside Manor

LBN: Barron Healthcare Center Inc.
Barron Riverside Manor is an health care organization with primary practice located at 660 E Birch Ave , Barron WI 54812-9130. 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. Barron Healthcare Center Inc. can be contacted via phone (715) 537-5643, or through Thayer, Grant D. via phone (715) 837-1222.

Contact Information

Primary practice address
660 E Birch Ave Barron WI 54812-9130
Phone: (715) 537-5643
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thayer, Grant D.
Phone: (715) 837-1222

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3038 Wisconsin

Profile Details

NPI number 1154320802
LBN Legal business name Barron Healthcare Center Inc.
DBA Doing business as Barron Riverside Manor
Authorized official Thayer, Grant D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Oct 29th, 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 1154320802 NPPES
Wisconsin MEDICAID 20167400

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