Organization · Type 2 NPI

CCG - Frederic

Skilled Nursing Facility · Frederic, WI

NPI number 1366440430 Active

Practice location

205 United Way
Frederic, WI 54837-8938

Call (715) 327-4297 Map

Fax (715) 327-4950

Mailing address

5000 Hakes Dr, Suite 600
Norton Shores, MI 49441-5574

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X3086 (WI)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1366440430

CCG - Frederic's National Provider Identifier is 1366440430, issued on Jul 12, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Frederic, WI. The record was last updated on Apr 20, 2008.