Fond Du Lac County
NPI 1659358323ActiveOrganization· Skilled Nursing Facility· Fond Du Lac, WI
Skilled Nursing Facility in Fond Du Lac, Wisconsin, registered in NPPES in December 2005. The authorized official on file is Mark Radmer, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1659358323 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 23, 2005 |
| Last updated in NPPES | Jul 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2437 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WI) |
|---|
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