Fort Healthcare Inc is a Counselor Clinic in Fort Atkinson, Wisconsin. It is situated at 611 Sherman Ave E, Fort Atkinson and its contact number is 920-568-6580. The authorized person of Fort Healthcare Inc is Shelby Walling
who is Credentialing Specialist of the clinic and their contact number is 920-563-4466.
Complete Clinic Profile:
Fort Healthcare Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Counselor
Clinic Address:
611 Sherman Ave E, Fort Atkinson, Wisconsin, 53538-1960
Phone:
920-568-6580
Fax:
920-568-4004
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Shelby Walling
Position:
Credentialing Specialist
Contact Number:
920-563-4466
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fort Healthcare Inc Clinic are as mentioned below.
NPI Number:
1417993361
NPI Enumeration Date:
21 Jun, 2006
NPI Last Update On:
07 Oct, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fort Healthcare Inc are as mentioned below.
Specialization
License Number
State
Status
Counselor
Primary
Psychologist
Secondary
Clinical
Secondary
Optometrist
Secondary
Dermatology
Secondary
Family Medicine
Secondary
Obstetrics & Gynecology
Secondary
Ophthalmology
Secondary
Orthopaedic Surgery
Secondary
Otolaryngology
Secondary
Surgery
Secondary
Urology
Secondary
General Practice
Secondary
Audiologist
Secondary
Nurse Practitioner
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
21273900
Medicaid
Wisconsin
21274000
Medicaid
Wisconsin
000000491
Other
Medicare Ptan
21273800
Medicaid
Wisconsin
21274200
Medicaid
Wisconsin
21274600
Medicaid
Wisconsin
21274500
Medicaid
Wisconsin
21279400
Medicaid
Wisconsin
11011900
Medicaid
Wisconsin
21274300
Medicaid
Wisconsin
21274900
Medicaid
Wisconsin
21275700
Medicaid
Wisconsin
21274100
Medicaid
Wisconsin
21274800
Medicaid
Wisconsin
52D0392916
Other
Wisconsin
Clia
42237700
Medicaid
Wisconsin
21274700
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fort Healthcare Inc Po Box 249, Fort Atkinson, Wisconsin
Zip:
53538-0249
Phone Number:
920-563-4402
Fax Number:
920-568-4004
Patients can reach Fort Healthcare Inc at 611 Sherman Ave E, Fort Atkinson, Wisconsin or can call to book an appointment on 920-568-6580. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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