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Organization
ORION TOMAH LLC
Active
Organization
ORION TOMAH LLC
Active
Other names
Tomah Healthcare Center, Tomah Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DAVIS (ATTORNEY)
(502) 552-4873
Entity
Organization
Contact information
Practice address
1505 BUTTS AVE, TOMAH, WI 54660-2405
(608) 372-3241
Mailing address
2550 CORPORATE EXCHANGE DR STE 200, COLUMBUS, OH 43231-1660
(614) 416-0600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2825
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083892186
—
WI
05
—
20200300
—
WI
01
—
621810991030
BCBS PROVIDER CODE
WI
Enumeration date
01/31/2008
Last updated
03/18/2026
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