Odd Fellow Rebekah Home Association Inc

LBN: Odd Fellow Rebekah Home Association Inc
Odd Fellow Rebekah Home Association Inc is an health care organization with primary practice located at 1207 S Jackson St , Green Bay WI 54301-3037. 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. Odd Fellow Rebekah Home Association Inc can be contacted via phone (920) 593-1640, or through Everett, Charlene via phone (920) 593-1640.

Contact Information

Primary practice address
1207 S Jackson St Green Bay WI 54301-3037
Phone: (920) 593-1640
Fax: (920) 435-5031
Website:
Map and Directions
Authorized official contact:
Name: Everett, Charlene CEO, NHA, RN
Phone: (920) 593-1640

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2544 Wisconsin

Profile Details

NPI number 1124006739
LBN Legal business name Odd Fellow Rebekah Home Association Inc
DBA Doing business as
Authorized official Everett, Charlene CEO, NHA, RN
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 7th, 2013 - about 11 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 1124006739 NPPES
Wisconsin MEDICAID 20151600

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