Fort Medical Group 650 Mcmillen

LBN: Fort Healthcare, Inc
Fort Medical Group 650 Mcmillen is an health care organization with primary practice located at 650 Mcmillen St , Fort Atkinson WI 53538-1275. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Fort Healthcare, Inc can be contacted via phone (920) 563-8900, or through Nelson, James via phone (920) 568-5000.

Contact Information

Primary practice address
650 Mcmillen St Fort Atkinson WI 53538-1275
Fax: (920) 563-0318
Website:
Authorized official contact:
Name: Nelson, James

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1881755767
LBN Legal business name Fort Healthcare, Inc
DBA Doing business as Fort Medical Group 650 Mcmillen
Authorized official Nelson, James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Jun 11th, 2009 - about 12 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 1881755767 NPPES
Wisconsin MEDICAID 21274900

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