Fond Du Lac County in Fond Du Lac - Community/behavioral Health
Fond Du Lac County - NPI 1053458935
Fond Du Lac County is a Community/behavioral Health in Fond Du Lac, Wisconsin. Fond Du Lac County practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Fond Du Lac County is 1053458935. The last update date is 2012-01-18.
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 and fax number 9209293129. 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 | 9209293129 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR, |
|---|---|
| Authorized Official Name | Musunuru R J |
| Credentials | M.D. |
| Telephone Number | 9209293500 |
NPI Number Detail
| NPI Number | 1053458935 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2012-01-18 |
Provider Mailing Address Detail
| Address | 459 E 1st St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354505 |
| Phone Number | 9209293500 |
| Fax Number | 9209293129 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42121200 | 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) 1053458935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Fond Du Lac County's physical address?
The Fond Du Lac County is physically located at 459 E 1St St, in the city of Fond Du Lac, WI, with the postal code 549354505.
What is the Fond Du Lac County's specialty and taxonomy code?
The Fond Du Lac County's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did Fond Du Lac County receive its 1053458935 assignment from the Centers for Medicare & Medicaid Services?
The Fond Du Lac County was assigned its 1053458935 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Fond Du Lac County's information last updated?
The Fond Du Lac County's information was last updated on 2012-01-18.
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