# MILE BLUFF MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILE BLUFF MEDICAL CENTER INC
- **Other names:** Crest View Nursing Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932124898
- **Legal business name:** MILE BLUFF MEDICAL CENTER INC
- **Authorized official:** THOMAS KAMINSKI (VP - CFO)
- **Authorized official phone:** (608) 847-1452

## Contact information

- **Practice address:** 612 VIEW ST, NEW LISBON, WI 53950-1079
- **Practice address phone:** (608) 562-3667
- **Practice address fax:** (608) 562-6590
- **Mailing address:** 1050 DIVISION ST, MAUSTON, WI 53948-1931
- **Mailing address phone:** (608) 847-6161
- **Mailing address fax:** (608) 562-6590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2367 | WI | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 04/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20189600 | — | WI |