Agnesian Healthcare in Beaver Dam - Mental Health (including Community Mental Health Center)
Agnesian Healthcare - NPI 1700817657
Agnesian Healthcare is a Mental Health (including Community Mental Health Center) in Beaver Dam, Wisconsin. Agnesian Healthcare practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Agnesian Healthcare is 1700817657. The last update date is 2007-09-04.
Agnesian Healthcare's current location address is 200 Front St, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208852780 and fax number 9208852788. The mailing address for Agnesian Healthcare is 200 Front St, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Agnesian Healthcare |
|---|---|
| Address | 200 Front St, Beaver Dam, Wisconsin |
| Phone Number | 9208852780 |
| Fax Number | 9208852788 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Salasek James |
| Credentials | PHD |
| Telephone Number | 9208852780 |
NPI Number Detail
| NPI Number | 1700817657 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 200 Front St |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539161667 |
| Phone Number | 9208852780 |
| Fax Number | 9208852788 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 1753 |
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Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Post Comment/ Review Below
What is the Agnesian Healthcare's unique identification number?
The Agnesian Healthcare has been assigned the NPI (National Provider Identifier) Number 1700817657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Agnesian Healthcare is physically located?
The Agnesian Healthcare is physically situated at the following address: 200 Front St, Beaver Dam, WI, 539161667.
What is the Agnesian Healthcare's specialty and taxonomy code?
The Agnesian Healthcare's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
When did the Agnesian Healthcare receive its 1700817657?
The Agnesian Healthcare was issued its 1700817657 on 2006-07-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Agnesian Healthcare, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Agnesian Healthcare, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-04.