Pioneer Nursing Home

LBN: Village Of Prairie Farm
Pioneer Nursing Home is an health care organization with primary practice located at 530 River Avenue South , Prairie Farm WI 54762. 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. Village Of Prairie Farm can be contacted via phone (715) 455-1178, or through Duhr, Amy via phone (715) 832-3003.

Contact Information

Primary practice address
530 River Avenue South Prairie Farm WI 54762
Phone: (715) 455-1178
Fax: (715) 455-1044
Website:
Map and Directions
Authorized official contact:
Name: Duhr, Amy
Phone: (715) 832-3003

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1056 Wisconsin

Profile Details

NPI number 1932107463
LBN Legal business name Village Of Prairie Farm
DBA Doing business as Pioneer Nursing Home
Authorized official Duhr, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 1st, 2023 - about 2 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 1932107463 NPPES
Wisconsin MEDICAID 20156100

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