Polk County Dept Of Administration

LBN: Polk County Dept Of Administration
Polk County Dept Of Administration is an health care organization with primary practice located at 220 Scholl Ct , Amery WI 54001-1440. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Polk County Dept Of Administration can be contacted via phone (715) 268-7107, or through Taxdahl, Gary via phone (715) 268-7107.

Contact Information

Primary practice address
220 Scholl Ct Amery WI 54001-1440
Phone: (715) 268-7107
Fax: (715) 268-6167
Website:
Map and Directions
Authorized official contact:
Name: Taxdahl, Gary
Phone: (715) 268-7107

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 2376 Wisconsin

Profile Details

NPI number 1215981998
LBN Legal business name Polk County Dept Of Administration
DBA Doing business as
Authorized official Taxdahl, Gary
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Aug 11th, 2011 - about 13 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 1215981998 NPPES
Wisconsin MEDICAID 20133000

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