Polk County-Dept of Administration
NPI 1215981998ActiveOrganization· Nursing Facility/Intermediate Care Facility· Amery, WI
Nursing Facility/Intermediate Care Facility in Amery, Wisconsin, registered in NPPES in May 2006, part of Polk County-Dept of Administration. The authorized official on file is Dana Reese, LNHA, Nursing Home Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1215981998 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Polk County-Dept of Administration |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 2376 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WI) |
|---|