# TREMPEALEAU COUNTY HEALTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TREMPEALEAU COUNTY HEALTH CARE CENTER
- **Other names:** Clover Way
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518127000
- **Legal business name:** TREMPEALEAU COUNTY HEALTH CARE CENTER
- **Authorized official:** JERRY DEETZ NHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (715) 538-4312

## Contact information

- **Practice address:** 36125 E END RD, INDEPENDENCE, WI 54747-8080
- **Practice address phone:** (715) 985-2270
- **Practice address fax:** (715) 985-2318
- **Mailing address:** W20410 STATE ROAD 121, WHITEHALL, WI 54773-9147
- **Mailing address phone:** (751) 538-4312
- **Mailing address fax:** (715) 538-2426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 0012375 | WI | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 04/15/2021