ARBOR PLACE, INC. (NPI# 1497889026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497889026 |
| Entity Type | Organization |
| Organization Name | ARBOR PLACE, INC. |
| Practice Address |
4076 Kothlow Ave Menomonie WI 54751 |
| Mailing Address |
4076 Kothlow Ave Menomonie WI 54751-3090 |
| Practice Telephone | 7152354537 |
| Practice Fax Number | 7152354535 |
| Mailing Telephone | 7152354537 |
| Mailing Fax Number | 7152354535 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JILL GAMEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7152354537 |
| Authorized Official Credential | MBA,MSPH,CSAC, P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1050 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42148200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598899353 | Arbor Place, Inc. | Clinic/Center | 4076 Kothlow Ave, Menomonie, WI 54751 | 2007-03-15 |
| 1013458173 | Arbor Place, Inc. | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2017-03-09 |
| 1073647665 | Arbor Place, Inc. | Substance Abuse Rehabilitation Facility | 4076 Kothlow Ave, Menomonie, WI 54751 | 2007-03-15 |
| Street Address |
4076 KOTHLOW AVE |
| City | MENOMONIE |
| State | WI |
| Zip Code | 54751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598899353 | Arbor Place, Inc. | Clinic/Center | 4076 Kothlow Ave, Menomonie, WI 54751 | 2007-03-15 |
| 1730712308 | Jacob Bloom | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2020-02-21 |
| 1720625049 | Tara L Thiele | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2019-12-05 |
| 1649820168 | Elyse Henke | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2019-09-17 |
| 1396397337 | Stephanie Hurlburt | Social Worker | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2019-07-10 |
| 1801395033 | Joshua Paul Bleskachek | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2018-02-02 |
| 1871013458 | Mackenzie Ann Deffenbaugh | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2017-06-23 |
| 1013458173 | Arbor Place, Inc. | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2017-03-09 |
| 1073647665 | Arbor Place, Inc. | Substance Abuse Rehabilitation Facility | 4076 Kothlow Ave, Menomonie, WI 54751 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1215307814 | David Calvin Reimann | Hearing Instrument Specialist | E4584 483rd Avenue, Menomonie, WI 54751 | 2015-09-25 |
| 1790128627 | County of Dunn | Skilled Nursing Facility | 651 Howison Circle, Menominie, WI 54751 | 2013-04-10 |
| 1043653983 | County of Dunn | Skilled Nursing Facility | 658 Howison Circle, Menomonie, WI 54751 | 2013-04-10 |
| 1447519236 | Gentle Dental Care LLC | Dentist | 1813 Wilson St., Menomonie, WI 54751 | 2012-05-14 |
| 1386960193 | Kilimanjaro LLC | Non-emergency Medical Transport (VAN) | 1222 14th Ave E, Menomonie, WI 54751 | 2010-04-19 |
| 1275709180 | Dianne Marie Bennett | Counselor | 1916 2nd St W, Menomonie, WI 54751 | 2008-05-01 |
| 1417136201 | David Gary Hackbarth | Chiropractor | 3120 Schneider Ave E, Suite #5, Menomonie, WI 54751 | 2007-10-29 |
| 1306057336 | Tonia D. Behling | Dental Hygienist | 3375 Kothlow Ave., Suite 40, Menomonie, WI 54751 | 2007-05-24 |
| 1295956282 | Danny Roger Wood | Dentist | 1603 Stout Rd, Menomonie, WI 54751 | 2007-05-01 |
| Find all providers in zip 54751 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1245628817 | Forever Free Substance Abuse and Mental Heath Treament Center | Clinic/Center | 724 S Layton Blvd, Milwaukee, WI 53215-1224 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
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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.