Tchcc Imd

LBN: County Of Trempealeau
Tchcc Imd is an health care organization with primary practice located at W20410 State Road 121 , Whitehall WI 54773-9147. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. County Of Trempealeau can be contacted via phone (715) 538-4312, or through Deetz, Jerry via phone (715) 538-4312.

Contact Information

Primary practice address
W20410 State Road 121 Whitehall WI 54773-9147
Phone: (715) 538-4312
Fax: (715) 538-2426
Website:
Map and Directions
Authorized official contact:
Name: Deetz, Jerry N.H.A.
Phone: (715) 538-4312

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 5001 Wisconsin

Profile Details

NPI number 1619935293
LBN Legal business name County Of Trempealeau
DBA Doing business as Tchcc Imd
Authorized official Deetz, Jerry N.H.A.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2006
Last updated Apr 15th, 2021 - about 3 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 1619935293 NPPES
Wisconsin Other P290 IMD FACILITY

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