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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