Winnebago Mental Health Institute

LBN: State Of Wisconsin
Winnebago Mental Health Institute is an health care organization with primary practice located at 1300 South Drive , Winnebago WI 54985-0009. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. State Of Wisconsin can be contacted via phone (920) 235-4910, or through Kneepkens, Robert G via phone (920) 235-4910.

Contact Information

Primary practice address
1300 South Drive Winnebago WI 54985-0009
Phone: (920) 235-4910
Fax: (920) 237-2043
Website:
Map and Directions
Authorized official contact:
Name: Kneepkens, Robert G
Phone: (920) 235-4910

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 250 Wisconsin

Profile Details

NPI number 1164516506
LBN Legal business name State Of Wisconsin
DBA Doing business as Winnebago Mental Health Institute
Authorized official Kneepkens, Robert G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Feb 15th, 2008 - about 17 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 1164516506 NPPES
Wisconsin MEDICAID 10063000

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