Fort Atkinson Memorial Health Services

LBN: Fort Healthcare Inc
Fort Atkinson Memorial Health Services is an health care organization with primary practice located at 611 Sherman Ave E , Fort Atkinson WI 53538-1960. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / General Practice, Speech, Language and Hearing Service Providers / Audiologist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Fort Healthcare Inc can be contacted via phone (920) 568-6580, or through Walling, Shelby via phone (920) 563-4466.

Contact Information

Primary practice address
611 Sherman Ave E Fort Atkinson WI 53538-1960
Fax: (920) 568-4004
Website:
Authorized official contact:
Name: Walling, Shelby

Profile Details

NPI number 1417993361
LBN Legal business name Fort Healthcare Inc
DBA Doing business as Fort Atkinson Memorial Health Services
Authorized official Walling, Shelby
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417993361 NPPES
Wisconsin MEDICAID 21273900
Wisconsin MEDICAID 21274000
Wisconsin Other 000000491
Wisconsin MEDICAID 21273800
Wisconsin MEDICAID 21274200
Wisconsin MEDICAID 21274600
Wisconsin MEDICAID 21274500
Wisconsin MEDICAID 21279400
Wisconsin MEDICAID 11011900
Wisconsin MEDICAID 21274300
Wisconsin MEDICAID 21274900
Wisconsin MEDICAID 21275700
Wisconsin MEDICAID 21274100
Wisconsin MEDICAID 21274800
Wisconsin Other 52D0392916
Wisconsin MEDICAID 42237700
Wisconsin MEDICAID 21274700

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