COUNTY OF LINCOLN (NPI# 1538157896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538157896 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LINCOLN |
| Other Organization Name | PINE CREST NURSING HOME |
| Practice Address |
2100 E 6th St Merrill WI 54452-3107 |
| Practice Telephone | 7155360355 |
| Practice Fax Number | 7155393202 |
| Mailing Telephone | 7155360355 |
| Mailing Fax Number | 7155393202 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | MR. TIMOTHY MEEHEAN (ADMINISTRATOR) |
| Authorized Official Telephone | 7155360355 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2368 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20136600 | 05 |
| Other Name | Type Code |
|---|---|
| Pine Crest Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932435377 | County of Lincoln | Clinic/Center | 322 Ne Eads St, Newport, OR 97365-2819 | 2009-10-20 |
| 1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
| 1013048495 | County of Lincoln | Public Health or Welfare | 326 8th Street, Hugo, CO 80821-0125 | 2007-03-08 |
| 1841347101 | County of Lincoln | Public Health or Welfare | 418 Main Ave, Libby, MT 59923-1848 | 2007-01-05 |
| 1245282276 | County of Lincoln | Public Health or Welfare | 520 Topaz St Ste 109, Kemmerer, WY 83101-3131 | 2006-05-17 |
| 1497722110 | County of Lincoln | Home Health | 114 W Court St, Lincoln, KS 67455 | 2006-03-01 |
| 1841293768 | County of Lincoln | Ambulance | 801 N Sales St, Suite 201, Merrill, WI 54452-1633 | 2005-05-24 |
| 1326414087 | County of Lincoln | Clinic/Center | 51 Sw Lee St, Newport, OR 97365 | 2015-08-18 |
| 1982939641 | County of Lincoln | Clinic/Center | 1010 Sw Coast Hwy Ste 203, Newport, OR 97365 | 2009-10-13 |
| 1205161007 | County of Lincoln | Clinic/Center | 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 97367 | 2009-10-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF LINCOLN | 512 California Ave, Libby, MT 59923-1942 |
| Street Address |
2100 E 6TH ST |
| City | MERRILL |
| State | WI |
| Zip Code | 54452-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409778 | Mason Froeba | Physical Therapy Assistant | 2100 E 6th St, Merrill, WI 54452-3107 | 2018-08-30 |
| 1700370293 | Kelly Martello | Occupational Therapy Assistant | 2100 E 6th St, Merrill, WI 54452-3107 | 2018-06-18 |
| 1336679539 | Amy Virginia Anderson | Physical Therapy Assistant | 2100 E 6th St, Merrill, WI 54452-3107 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273799 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 100 Eagle Drive, Merrill, WI 54452 | 2019-09-06 |
| 1215413893 | Justine Tolles | Speech-Language Pathologist | Pine Crest, 2100 E 6th St, Merrill, WI 54452 | 2018-07-17 |
| 1265723688 | Primary Connection Health Care, Inc | Clinic/Center | 401 W. Main Street, Merrill, WI 54452 | 2011-04-20 |
| 1134374192 | Amanda J Wanta | Dental Hygienist | 401 West Mail Street, Merrill, WI 54452 | 2008-11-18 |
| 1457528598 | Lincoln County 51.437 Services | Case Management | 912 N Memorial Dr, Merrill, WI 54452 | 2008-05-08 |
| 1003019522 | Mary Margaret Hintze | Nurse Anesthetist, Certified Registered | 621 South Center Avenue, Merrill, WI 54452 | 2007-06-11 |
| 1093860702 | Katherine M. Gress-volpentesta | Chiropractor | 109 A S Center Ave, Merrill, WI 54452 | 2007-01-24 |
| 1578618187 | Gress Chiropractic Clinic, LLC | Chiropractor | 109 A S. Center Ave., Merrill, WI 54452 | 2007-01-24 |
| 1487751939 | Roger S Lamoreux | Optometrist | 728 E 2nd St, Merrill, WI 54452 | 2006-09-19 |
| 1568566776 | Paula K Mcintyre | Dietitian, Registered | 1205 Oday St, Merrill, WI 54452 | 2006-09-08 |
| Find all providers in zip 54452 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942474903 | Peoplefirst | Skilled Nursing Facility | 1103 Lakeview St, Merrill, WI 54452-3071 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 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.