ALGOMA MEDICAL CENTER (NPI# 1215910690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215910690 |
Entity Type | Organization |
Organization Name | ALGOMA MEDICAL CENTER |
Other Organization Name | ALGOMA MEDICAL CENTER & LTC |
Practice Address |
1510 Fremont St Algoma WI 54201-1948 |
Practice Telephone | 9204875511 |
Practice Fax Number | 9204872668 |
Mailing Telephone | 9204875511 |
Mailing Fax Number | 9204872668 |
Enumeration Date | 2005-11-21 |
Last Update Date | 2011-12-07 |
Authorized Official Name | JEANNE M BRANDT (NURSING HOME ADMINISTRATOR) |
Authorized Official Telephone | 9204875511 |
Authorized Official Credential | N.H.A., M.B.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2952 | WI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 20162700 | 05 |
Other Name | Type Code |
---|---|
Algoma Medical Center & LTC | Doing Business As Name - Organization |
Street Address |
1510 FREMONT ST |
City | ALGOMA |
State | WI |
Zip Code | 54201-1948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932318375 | Jacqueline Marie Joski | Occupational Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2007-05-22 |
1598808958 | William F Bluett | Physical Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2007-02-15 |
1922156371 | Urology Associates of Green Bay | Specialist | 1510 Fremont St, Algoma, WI 54201-1948 | 2007-01-08 |
1063520633 | Nicholas Wasilkoff | Physical Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2006-08-25 |
1952419541 | Lynne M Lukes | Physical Therapy Assistant | 1510 Fremont St, Algoma, WI 54201-1948 | 2006-08-25 |
1083624712 | Melissa A Brockman | Physical Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2006-08-08 |
1336128081 | Lisa Olson | Physician Assistant | 1510 Fremont St, Algoma, Algoma, WI 54201 | 2006-01-11 |
1033194261 | Tina M Schmidt | Physician Assistant | 1510 Fremont St, Algoma, WI 54201-1948 | 2005-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609905645 | Rebecca Havel Prust | Dentist | 1223 Lake Street, Algoma, WI 54201 | 2007-03-05 |
1780734418 | Lakeshore Vision Centers, Ltd | Clinic/Center | 1021 Jefferson St., Algoma, WI 54201 | 2007-01-12 |
1306905575 | Alan William Haubenschild | Dentist | 409 5th St, Algoma, WI 54201 | 2006-12-06 |
1477559938 | Robert James Anderson | Family Medicine | 831 Parker St, Algoma, WI 54201-0185 | 2005-06-21 |
1841603693 | Katie Ann Lukes | Registered Nurse | 831 Parker St, Algoma, WI 54201-0185 | 2014-06-10 |
1124438478 | Bellin Psychiatric Center Inc | Counselor | 831 Parker St, Algoma, WI 54201-0185 | 2014-05-07 |
1558372094 | City of Algoma | Ambulance | 400 3rd St, Algoma, WI 54201-1211 | 2006-08-10 |
1447291331 | Kay K Secrest | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2006-06-09 |
1528106929 | Secrest Family Chiropractic LLC | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2007-02-01 |
1821511841 | Amber Beth Vanden Avond | Chiropractor | 305 Steele St Ste 1, Algoma, WI 54201-1266 | 2017-07-21 |
Find all providers in zip 54201 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | 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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.