Organization
SIMON OSHKOSH PROPERTIES LLC
Active
Other names
Northpoint Medical and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
1850 BOWEN ST, OSHKOSH, WI 54901-2356
(920) 233-4011
(920) 233-5177
Mailing address
7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-5980
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3242
WI
332BN1400X
Nursing Facility Supplies (DME)
3242
WI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
3242
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20193200
—
WI
Enumeration date
10/24/2006
Last updated
12/30/2014
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