| Agnesian Healthcare | |
|
1567 E Sumner St Suite 201 Hartford WI 53027-2608 | |
| (262) 670-6794 | |
| (262) 670-6795 |
| Full Name | Agnesian Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1567 E Sumner St, Hartford, Wisconsin |
| Authorized Official Name and Position | Steven N Little (SR VP & CEO) |
| Authorized Official Contact | 9209265402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnesian Healthcare 1567 E Sumner St Suite 201 Hartford WI 53027-2608 Ph: (262) 670-6794 | Agnesian Healthcare 1567 E Sumner St Suite 201 Hartford WI 53027-2608 Ph: (262) 670-6794 |
| NPI Number | 1013157981 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013157981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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