Fond Du Lac County in Fond Du Lac - Psychiatric Hospital
Fond Du Lac County - NPI 1235252024
Fond Du Lac County is a Psychiatric Hospital in Fond Du Lac, Wisconsin. Fond Du Lac County practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Fond Du Lac County is 1235252024. The last update date is 2019-11-27.
Fond Du Lac County's current location address is 459 E 1st St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209293500. The mailing address for Fond Du Lac County is 459 E 1st St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fond Du Lac County |
|---|---|
| Address | 459 E 1st St, Fond Du Lac, Wisconsin |
| Phone Number | 9209293500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Musunuru R J |
| Credentials | MD |
| Telephone Number | 9209293500 |
NPI Number Detail
| NPI Number | 1235252024 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2019-11-27 |
Provider Mailing Address Detail
| Address | 459 E 1st St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354505 |
| Phone Number | 9209293500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
|
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10062400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fond Du Lac County?
The Fond Du Lac County has been issued the NPI (National Provider Identifier) 1235252024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Fond Du Lac County's facilities are situated?
The facilities of Fond Du Lac County are physically located at the following address: 459 E 1St St, Fond Du Lac, WI, 549354505.
What is Fond Du Lac County's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fond Du Lac County is Psychiatric Hospital, and the taxonomy code that classifies this field of practice is 283Q00000X.
On what date was the 1235252024 assigned to Fond Du Lac County?
The Fond Du Lac County was issued its 1235252024 on 2007-04-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Fond Du Lac County's details last updated?
The information pertaining to the Fond Du Lac County, including its address, specialty, and other details, was most recently updated on 2019-11-27.
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