| Church Health Services, Inc. | |
|
115 N Center St Beaver Dam WI 53916-2119 | |
| (920) 887-1766 | |
| (920) 887-2322 |
| Full Name | Church Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 115 N Center St, Beaver Dam, Wisconsin |
| Authorized Official Name and Position | Susan Osteen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9208871766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Health Services, Inc. 115 N Center St Beaver Dam WI 53916-2119 Ph: (920) 887-1766 | Church Health Services, Inc. 115 N Center St Beaver Dam WI 53916-2119 Ph: (920) 887-1766 |
| NPI Number | 1154743177 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 01/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154743177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27426020 (Wisconsin) | Primary |
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