| Community Memorial Hospital Social Services | |
|
855 S Main St Oconto Falls WI 54154-1241 | |
| (920) 846-3444 | |
| (920) 846-0250 |
| Full Name | Community Memorial Hospital Social Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 855 S Main St, Oconto Falls, Wisconsin |
| Authorized Official Name and Position | Jim L Van Dornick (CEO) |
| Authorized Official Contact | 9208463444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Hospital Social Services 855 S Main St Oconto Falls WI 54154-1241 Ph: (920) 846-3444 | Community Memorial Hospital Social Services 855 S Main St Oconto Falls WI 54154-1241 Ph: (920) 846-3444 |
| NPI Number | 1629302831 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 02/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629302831 | NPI | - | NPPES |
| 1346393287 | Other | WI | WINIUS NPI |
| 1851477913 | Other | WI | CMH NPI |
| 1922270693 | Other | WI | FLETCHER NPI |
| 11014110 | Medicaid | WI | |
| 1326349135 | Other | WI | CMH SB NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7421-123 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 6699-123 (Wisconsin) | Secondary |
Oak Ridge Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4340 Elm Lawn Rd, Oconto Falls, WI 54154 Phone: 920-264-7845 | |
Bellin Behavior Health-oconto Falls Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Highland Dr, Oconto Falls, WI 54154 Phone: 920-846-0509 | |
St. Vincent Hospital-libertas Of Oconto Falls Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 853 S Main St, Oconto Falls, WI 54154 Phone: 920-846-8187 |