Cms Fond Du Lac | |
23 W Scott St Fond Du Lac WI 54935-2342 | |
(920) 926-0101 | |
Not Available |
Full Name | Cms Fond Du Lac |
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Speciality | Clinic/Center |
Location | 23 W Scott St, Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Cindy Gaither (VP REVENUE CYCLE MGMT) |
Authorized Official Contact | 6022488886 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cms Fond Du Lac 8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (602) 248-8886 | Cms Fond Du Lac 23 W Scott St Fond Du Lac WI 54935-2342 Ph: (920) 926-0101 |
NPI Number | 1346620952 |
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Provider Enumeration Date | 06/09/2015 |
Last Update Date | 02/10/2024 |
Certification Date | 02/10/2024 |
Medicare PECOS PAC ID | 5799114195 |
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Medicare Enrollment ID | O20200407000446 |
Identifier | Type | State | Issuer |
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1346620952 | NPI | - | NPPES |
Fond Du Lac County Department Of Community Programs Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
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