| Ssm Health Behavioral Health | |
|
430 E Division St Fond Du Lac WI 54935-4560 | |
| (920) 929-2300 | |
| (920) 926-8885 |
| Full Name | Ssm Health Behavioral Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 430 E Division St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Bonnie R Schmitz (CFO) |
| Authorized Official Contact | 9209264480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Behavioral Health 430 E Division St Fond Du Lac WI 54935-4560 Ph: (920) 929-2300 | Ssm Health Behavioral Health 430 E Division St Fond Du Lac WI 54935-4560 Ph: (920) 929-2300 |
| NPI Number | 1598743726 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 03/12/2022 |
| Certification Date | 03/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598743726 | NPI | - | NPPES |
| 547140 | Other | WI | DEAN CARE |
| 101159 | Other | WI | VESTICA |
| 11013000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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