Ecumenical Health Center in Green Bay - Mental Health (including Community Mental Health Center)

Ecumenical Health Center - NPI 1396936175

Ecumenical Health Center is a Mental Health (including Community Mental Health Center) in Green Bay, Wisconsin. Ecumenical Health Center practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Ecumenical Health Center is 1396936175. The last update date is 2007-08-06.

Ecumenical Health Center's current location address is 1540 Capitol Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9204919800 and fax number 9204919800. The mailing address for Ecumenical Health Center is 1540 Capitol Dr, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ecumenical Health Center
Address 1540 Capitol Dr, Green Bay, Wisconsin
Phone Number 9204919800
Fax Number 9204919800
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSED P
Authorized Official Name Heider Paul James
Credentials ED.S.
Telephone Number 9204919800

NPI Number Detail

NPI Number 1396936175
Provider Enumeration Date 2007-08-06
Last Updated Date 2007-08-06

Provider Mailing Address Detail

Address 1540 Capitol Dr
City Green Bay
State Wisconsin (WI)
Post Code 543032235
Phone Number 9204919800
Fax Number 9204919800

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Licence No 104124
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39081000 WI --

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FAQs about Ecumenical Health Center

What is the unique 10-digit identifier code issued to Ecumenical Health Center by the Centers for Medicare & Medicaid Services?

The Ecumenical Health Center has been assigned the NPI (National Provider Identifier) 1396936175 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Ecumenical Health Center's facilities are geographically located?

The facilities of Ecumenical Health Center are physically situated at the following location: 1540 Capitol Dr, Green Bay, WI, 543032235.

What is Ecumenical Health Center's area of expertise and its corresponding taxonomy classification?

The Ecumenical Health Center's field of specialization is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their areas of practice.

On what date did the Ecumenical Health Center receive its 1396936175 assignment from the Centers for Medicare & Medicaid Services?

The Ecumenical Health Center was assigned its 1396936175 by the Centers for Medicare & Medicaid Services on 2007-08-06.

When was the information pertaining to Ecumenical Health Center most recently updated or revised?

The details related to Ecumenical Health Center, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-06.

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