Organization
ODD FELLOW REBEKAH HOME ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN-A J KOHN NHA (CEO)
(920) 593-1640
Entity
Organization
Contact information
Practice address
1207 S JACKSON ST, GREEN BAY, WI 54301-3037
(920) 593-1640
(920) 435-5031
Mailing address
1207 S JACKSON ST, GREEN BAY, WI 54301-3037
(920) 593-1640
(920) 435-5031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2544
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20151600
—
WI
Enumeration date
01/04/2006
Last updated
01/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us