SW WI REGIONAL ELEM THERAPEUTIC CLASSROOM
NPI 1104207497
Community Based Residential Treatment Facility, Mental Illness in Platteville, WI
- Organization
- Community Based Residential Treatment Fa...
About SW WI REGIONAL ELEM THERAPEUTIC CLASSROOM
This page provides the complete NPI Profile along with additional information for Sw Wi Regional Elem Therapeutic Classroom, a provider established in Platteville, Wisconsin operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1104207497 assigned on June 2015. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Sw Wi Regional Elem Therapeutic Classroom. The authorized official of this NPI record is Dr. Marc Wruble Ph.d. (Director)
- NPI
- 1104207497 Verify this NPI
- Provider Legal Name
- PLATTEVILLE FAMILY RESOURCE CENTER
- Other Organization Name
- SW WI REGIONAL ELEM THERAPEUTIC CLASSROOM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 155 W LEWIS ST PLATTEVILLE, WI 53818
- Location Phone
- (608) 642-1563
- Location Fax
- (608) 348-4191
- Mailing Address
- PO BOX 36 PLATTEVILLE, WI 53818
- Mailing Phone
- (608) 348-4060
- Mailing Fax
- (608) 348-4191
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-12-2015
- Last Update Date
- 08-04-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39757000 | MEDICAID (05) | WI |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104207497, enumerated as an "organization" on June 12, 2015.
The provider is located at 155 W LEWIS ST PLATTEVILLE, WI 53818 and the phone number is (608) 642-1563.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
