| Fort Healthcare, Inc. | |
|
611 Sherman Ave E Fort Atkinson WI 53538-1960 | |
| (920) 568-5000 | |
| (920) 568-5412 |
| Full Name | Fort Healthcare, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 611 Sherman Ave E, Fort Atkinson, Wisconsin |
| Authorized Official Name and Position | James J. Nelson (VP FINANCE) |
| Authorized Official Contact | 9205685000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Healthcare, Inc. Po Box 249 Fort Atkinson WI 53538-0249 Ph: (920) 568-5000 | Fort Healthcare, Inc. 611 Sherman Ave E Fort Atkinson WI 53538-1960 Ph: (920) 568-5000 |
| NPI Number | 1811916281 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/09/2024 |
| Medicare PECOS PAC ID | 0840189718 |
|---|---|
| Medicare Enrollment ID | O20040311000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811916281 | NPI | - | NPPES |
| 11011900 | Medicaid | WI | |
| 43412100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 1908-800 (Wisconsin) | Primary |
Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 | |
Internal Medicine & Pediatrics, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7711 Fax: 920-563-7705 |