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NPI Number Detailed Information

Provider Information:

Name: Medicaid
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1336109776
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 3/27/2006

Last Update Date: 8/22/2020

Provider Business Mailing Address:

Address: 1125 GENEVA RD
Menasha, WI 54952
Phone Number: 9204508323
Fax Number:

Provider Business Practice Location Address:

Address: 1125 GENEVA RD
Menasha, WI 54952
Phone Number: 9204508323
Fax Number:

Provider Taxonomy:

Primary: 3140N1450X
Secondary (if any): 311Z00000X
State: WI

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About Medicaid

Medicaid ( MEDICAID ) is A Skilled Nursing Facility Provider in Menasha, WI. The NPI Number for Medicaid is 1336109776.
The current location address for Medicaid is 1125 GENEVA RD Menasha, WI 54952 and the contact number is 9204508323 and fax number is . The mailing address for Medicaid is 1125 GENEVA RD Menasha, WI 54952- 9204508323 (mailing address contact number - 9204508323).
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Provider Business Location on Map

FAQs:

What is the NPI Number for Medicaid ?


Answer: The NPI Number for Medicaid is 1336109776

Where is Medicaid located?


Answer: Medicaid is located at 1125 GENEVA RD Menasha, WI 54952.

What is the specialty for Medicaid ?


Answer: The Specialty of Medicaid is A Skilled Nursing Facility Provider.

Are there any online reviews for Medicaid ?


Answer: Not yet!

Are there any other health care providers in Menasha, WI?


Answer: Yes, there are given below...

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Dr. Richard G Habighorst
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Sandra Groenewold
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Address: 1000 MIDWAY RD Menasha, WI 54952 , Phone: 9207279878
Suzanne C Bloomhuff
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Janine M Buffo
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Address: 2005 MIDWAY RD Menasha, WI 54952 , Phone: 9208328500
Kristen E Owens
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Address: 1095 MIDWAY RD Menasha, WI 54952 , Phone: 9207202300
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Address: 2005 MIDWAY RD Menasha, WI 54952 , Phone: 9208328500
Mr. Joshua David Gandolf
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Medicaid in Other Directories

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