Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ccg - Frederic

Organization Skilled Nursing Facility · NPI 1366440430

Ccg - Frederic is a Skilled Nursing Facility in Frederic, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005

Practice location Address checks out

205 United Way
Frederic, WI 54837-8938 Not confirmed with CMS for 18 years — call before visiting
Phone: (715) 327-4297
Fax: (715) 327-4950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 3086 (WI)

Record details

NPI number1366440430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Yoder — Cfo · (614) 416-0600
Other names Frederic Nursing And Rehabilitation Community
NPI enumeratedJuly 12, 2005
Last updated in NPPESApril 20, 2008
Mailing address5000 Hakes Dr, Suite 600, Norton Shores, MI 49441-5574

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Frederic