Prairie Maison

LBN: Prairie Nursing Facility Llc
Prairie Maison is an health care organization with primary practice located at 700 S. Fremont Street , Prairie Du Chien WI 53821. 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. Prairie Nursing Facility Llc can be contacted via phone (608) 326-8471, or through Wolcott, Mary Jo via phone (608) 326-8471.

Contact Information

Primary practice address
700 S. Fremont Street Prairie Du Chien WI 53821
Phone: (608) 326-8471
Fax: (608) 326-3205
Website:
Map and Directions
Authorized official contact:
Name: Wolcott, Mary Jo
Phone: (608) 326-8471

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3170 Wisconsin

Profile Details

NPI number 1487656765
LBN Legal business name Prairie Nursing Facility Llc
DBA Doing business as Prairie Maison
Authorized official Wolcott, Mary Jo
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 22nd, 2009 - about 16 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 1487656765 NPPES
Wisconsin MEDICAID 20194200

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