Organization · Type 2 NPI

County of Trempealeau

Intellectual Disabilities Intermediate Care Facility · Whitehall, WI

NPI number 1346208931 Active

Practice location

W20298 State Road 121
Whitehall, WI 54773-9685

Fax (715) 538-2426

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	2987 (WI)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

19 other providers at this address

NPI record

NPI: 1346208931
Entity type: Organization (Type 2)
Issued: May 3, 2006
Last updated: Jun 4, 2010
Status: Active
Subpart: Yes of County of Trempealeau

Other names

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Tchcc-Icfmr · doing business as

Authorized official

Mr. Phillip John Borreson, N.H.A., M.S.
Executive Director
(715) 538-4312

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346208931

County of Trempealeau's National Provider Identifier is 1346208931, issued on May 3, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Whitehall, WI. The record was last updated on Jun 4, 2010.