Ccg Prescott, Inc
Ccg Prescott, Inc is a Skilled Nursing Facility in Prescott, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1505 Orrin RdPrescott, WI 54021-1074 Not confirmed with CMS for 18 years — call before visiting
Phone: (715) 262-5661
Fax: (715) 262-4899
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 3249 (WI) |
|---|
Record details
| NPI number | 1922090521 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Yoder — Cfo · (614) 416-0600 |
| Other names | Prescott Nursing And Rehabilitation Community |
| NPI enumerated | August 19, 2005 |
| Last updated in NPPES | January 23, 2008 |
| Mailing address | 5000 Hakes Dr, Suite 600, Norton Shores, MI 49441-5574 |
Clinicians affiliated with this facility
- Samuel Robert Goblirsch, MD Emergency Medical Services (Emergency Medicine) Physician · Cambridge, MN
- James A Young II, MD Family Medicine Physician · Saint Paul, MN
Other providers in Prescott
-
Orion Prescott LLC
1505 Orrin Rd, Prescott, WI 54021-1074 · (715) 262-5661