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Organization

COUNTY OF PORTAGE

Active
Other names
Portage County Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARCIA MCDONALD (ADMINISTRATOR)
(715) 346-1497
Entity
Organization

Contact information

Practice address
825 WHITING AVE, STEVENS POINT, WI 54481-5246
(715) 346-1375
(715) 346-1628
Mailing address
825 WHITING AVE, STEVENS POINT, WI 54481-5246
(715) 346-1375
(715) 346-1628

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2394
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20134800
WI
Enumeration date
05/31/2005
Last updated
02/13/2017
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