MISSISSIPPI VALLEY HEALTH SERVICES COMMISSION (NPI# 1114158029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114158029 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI VALLEY HEALTH SERVICES COMMISSION |
| Other Organization Name | LAKEVIEW HEALTH CENTER |
| Practice Address |
902 Garland St E West Salem WI 54669-1308 |
| Practice Telephone | 6087861400 |
| Practice Fax Number | 6087861419 |
| Mailing Telephone | 6087861400 |
| Mailing Fax Number | 6087861419 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | MS. PAMELA SEMB (ADMINISTRATOR) |
| Authorized Official Telephone | 6087861400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 3012 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEPT OF HEALTH SERVICES, DIV OF QUALITY ASSURANCE | 3012 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeview Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851522767 | Mississippi Valley Health Services Commission | Skilled Nursing Facility | 962 Garland St E, West Salem, WI 54669-1308 | 2009-07-28 |
| Street Address |
902 GARLAND ST E |
| City | WEST SALEM |
| State | WI |
| Zip Code | 54669-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871911313 | Brittany Payne | Occupational Therapy Assistant | 902 Garland St E, West Salem, WI 54669-1308 | 2014-04-02 |
| 1447528724 | Jessica Lynn Wurzel | Physical Therapy Assistant | 902 Garland St E, West Salem, WI 54669-1308 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643699 | County of La Crosse | Custodial Care Facility | 994 Garland St E, West Salem, WI 54669 | 2020-03-04 |
| 1235763053 | County of La Crosse | Custodial Care Facility | 848 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1265066096 | County of La Crosse | Custodial Care Facility | 998 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1912470113 | Erin Gleason | Music Therapist | 806 N. Mill St., West Salem, WI 54669 | 2019-01-10 |
| 1124464854 | Andrea Jayne Hatleli | Contractor | 860 N. Mill St., Suite #2, West Salem, WI 54669 | 2013-05-21 |
| 1033424403 | Sara Smith | Dentist | 201 N Leonard St, Suite 101, West Salem, WI 54669 | 2010-08-10 |
| 1073839114 | Community Health Pharmacy LLC | Pharmacy | 880 N. Mill St., Suite 101, West Salem, WI 54669 | 2010-04-14 |
| 1255350542 | Kevin P Groth | Chiropractor | 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 | 2006-07-18 |
| 1063024834 | Erin Shea Vanhandel | Speech-Language Pathologist | 713 Leonard St N, West Salem, WI 54669 | 2020-08-21 |
| Find all providers in zip 54669 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781464 | Lakeview Health Center | Intermediate Care Facility, Mentally Retarded | 902 E Garland St, West Salem, WI 54669-1308 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790036739 | United Care Homes of Wisconsin LLC | Intermediate Care Facility, Mentally Retarded | 338 Municipal Dr, West Bend, WI 53095-3510 | 2012-10-01 |
| 1891931085 | The Arc of Columbia County | Intermediate Care Facility, Mentally Retarded | 711 E Cook St, Portage, WI 53901-2300 | 2008-12-18 |
| 1871714543 | St. Coletta of Wisconsin | Intermediate Care Facility, Mentally Retarded | W4955 Us Highway 18, Jefferson, WI 53549-9702 | 2007-05-01 |
| 1841418415 | Mccarthy Nursing Home | Intermediate Care Facility, Mentally Retarded | 124 S Monroe St, Stoughton, WI 53589-2012 | 2007-04-20 |
| 1689890204 | Hoplite, Inc. | Intermediate Care Facility, Mentally Retarded | 1719 Washington Ave, Racine, WI 53403-2019 | 2007-04-18 |
| 1235225616 | State of Wisconsin | Intermediate Care Facility, Mentally Retarded | 2820 East Park Avenue, Chippewa Falls, WI 54729-0340 | 2006-10-05 |
| 1376531061 | Wi Il Senior Housing | Intermediate Care Facility, Mentally Retarded | 1002 Eueka Street, Ripon, WI 54971 | 2005-10-07 |
| 1265429278 | County of Grant - Orchard Manor Fdd | Intermediate Care Facility, Mentally Retarded | 8800 Hwy 61, Lancaster, WI 53813-9306 | 2005-10-04 |
| 1790771368 | Heyde Health System, Inc | Intermediate Care Facility, Mentally Retarded | 14135 150th Ave, Bloomer, WI 54724-4410 | 2005-09-20 |
| 1720088495 | County of Shawano | Intermediate Care Facility, Mentally Retarded | N4231 State Highway 22, Shawano, WI 54166-6130 | 2005-07-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST SALEM |
| Zip Code | 54669 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.