Brown County Community Treatment Center-Bayshore Village

LBN: County Of Brown
Brown County Community Treatment Center-Bayshore Village is an health care organization with primary practice located at 3150 Gershwin Drive , Green Bay WI 54311-5859. 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. County Of Brown can be contacted via phone (920) 391-4700, or through Gruber, Kara via phone (920) 391-4700.

Contact Information

Primary practice address
3150 Gershwin Drive Green Bay WI 54311-5859
Phone: (920) 391-4700
Fax: (920) 391-4870
Website:
Map and Directions
Authorized official contact:
Name: Gruber, Kara
Phone: (920) 391-4700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2405 Wisconsin

Profile Details

NPI number 1033214150
LBN Legal business name County Of Brown
DBA Doing business as Brown County Community Treatment Center-Bayshore Village
Authorized official Gruber, Kara
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2006
Last updated May 10th, 2024 - about 7 months 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 1033214150 NPPES
Wisconsin MEDICAID 20159800

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