Fort Healthcare INC
NPI #1417450115 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1417450115
- Entity Type
- Organization
- Organization Name
- Fort Healthcare INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FORT HEALTHCARE INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Mar 9, 2018
- Last Updated
- Oct 7, 2022
Practice Location
- Address
- 500 MCMILLEN ST
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1233
- Phone
- (920) 563-5571
Authorized Official
- Name
- SHELBY WALLING
- Title
- CREDENTIALING
- Phone
- (920) 563-4466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Obstetrics & Gynecology |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Rural Health — Rural Health |
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