| Organization Name: | FLAMBEAU HOSPITAL, INC. |
| NPI Number: | 1205874443 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE M GRYSKIEWICZ (DIRECTOR) |
| Mailing Address: | 133 N Lake Ave Phillips |
| State: | WI US |
| Postal Code: | 545551220 |
| Phone Number: | 7153394371 |
| Fax Number: | 7153394477 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 09/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |