Oconomowoc Community Services Llc in Dousman - Community/behavioral Health
Oconomowoc Community Services Llc - NPI 1790800076
Oconomowoc Community Services Llc is a Community/behavioral Health in Dousman, Wisconsin. Oconomowoc Community Services Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Oconomowoc Community Services Llc is 1790800076. The last update date is 2020-08-22.
Oconomowoc Community Services Llc's current location address is Po Box 278, Dousman, Wisconsin. You can contact this provider via phone number 2625695515 and fax number 2625699962. The mailing address for Oconomowoc Community Services Llc is Po Box 278, Dousman, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Oconomowoc Community Services Llc |
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Address | Po Box 278, Dousman, Wisconsin |
Phone Number | 2625695515 |
Fax Number | 2625699962 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VICE PRESI |
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Authorized Official Name | Frisk Deborah M |
Credentials | MSW |
Telephone Number | 2620569551 |
NPI Number Detail
NPI Number | 1790800076 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 278 |
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City | Dousman |
State | Wisconsin (WI) |
Post Code | 53118 |
Phone Number | 2625695515 |
Fax Number | 2625699962 |
Provider's Primary Taxonomy Detail
Speciality | Community/behavioral Health |
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Taxonomy | 251S00000X |
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to Oconomowoc Community Services Llc by the Centers for Medicare & Medicaid Services?
The Oconomowoc Community Services Llc has been assigned the NPI (National Provider Identifier) 1790800076. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Oconomowoc Community Services Llc is physically located?
The Oconomowoc Community Services Llc is situated at the following address: Po Box 278, Dousman, WI 53118.
What is Oconomowoc Community Services Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Oconomowoc Community Services Llc is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date did the Oconomowoc Community Services Llc receive its 1790800076 assignment from the Centers for Medicare & Medicaid Services?
The Oconomowoc Community Services Llc was assigned its 1790800076 by the Centers for Medicare & Medicaid Services on 2007-03-19.
When was the information related to Oconomowoc Community Services Llc most recently updated or refreshed?
The details pertaining to the Oconomowoc Community Services Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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