1295178713 NPI number — GRAVES ENTERPRISES INC D/B/A OREGON MANOR

Table of content: (NPI 1295178713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295178713 NPI number — GRAVES ENTERPRISES INC D/B/A OREGON MANOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRAVES ENTERPRISES INC D/B/A OREGON MANOR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295178713
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
354 N MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OREGON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53575-1426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-835-3535
Provider Business Mailing Address Fax Number:
608-835-3890

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
354 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OREGON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53575-1426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-835-3535
Provider Business Practice Location Address Fax Number:
608-835-3890
Provider Enumeration Date:
04/15/2013

Additional Information

Authorized Official

Authorized Official Last Name:
GRAVES
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
608-835-3535

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  20100100 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 20100100 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1114001666 . This is a "NPI" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".




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