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Ccg Tomah Inc.
Skilled Nursing Facility in Tomah, Wisconsin
NPI 1194723205

Ccg Tomah Inc. is a Skilled Nursing Facility based in Norton Shores, WI. Ccg Tomah Inc. practices in Tomah, WI. The NPI Number for Ccg Tomah Inc. is 1194723205 and holds a License No. 2825 (Wisconsin).

The current practice location address for Ccg Tomah Inc. is 1505 Butts Ave, Tomah, WI and can be reached out via phone at 608-372-3241 and via fax at 608-372-3250.

Location: 1505 Butts Ave, Tomah, WI, 49441-5574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194723205
Provider Name
Ccg Tomah Inc.
Credential
Provider Entity Type
Organization
Address
1505 Butts Ave, Tomah, WI, 49441-5574
Phone Number
608-372-3241
Fax Number
608-372-3250
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20192600 05 WI
621810991030 01 WI BCBS PROVIDER CODE
institution
Provider Business Practice Location Address Details
Address
1505 Butts Ave
City
Tomah
State
Wisconsin
Zip
54660-2405
Phone Number
608-372-3241
Fax Number
608-372-3250
person
Provider Business Mailing Address Details
Address
1505 Butts Ave
City
Tomah
State
Wisconsin
Zip
54660-2405
Phone Number
608-372-3241
Fax Number
608-372-3250
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
2825 (Wisconsin)
Definition
(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.
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