Clinicare Corporation
Residential Treatment Facility, Emotionally Disturbed Children in Prairie Du Chien, WI. Organization (NPI-2).
NPI number1104984558
StatusActive
Last updated in NPPESMay 1, 2013
Details
- NPI
- 1104984558
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinicare Corporation
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- May 1, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | WI | Yes |
Other names
- Wyalusing Academy (Doing Business As)
Practice location
601 S Beaumont RdPrairie Du Chien, WI 53821-1909
Phone 608-326-6481 · Fax 608-326-6166
Mailing address
601 S Beaumont RdPo Box 269
Prairie Du Chien, WI 53821-1909
Phone 608-326-6481 · Fax 608-326-6166
Authorized official
Mary Beth Specht
Director
6083266481
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.