| Fond Du Lac County Dcp Acute Unit | |
|
459 E 1st St Fond Du Lac WI 54935-4505 | |
| (920) 929-3500 | |
| Not Available |
| Full Name | Fond Du Lac County Dcp Acute Unit |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 459 E 1st St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | J R Musunuru (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9209293500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fond Du Lac County Dcp Acute Unit 459 E 1st St Fond Du Lac WI 54935-4505 Ph: (920) 929-3500 | Fond Du Lac County Dcp Acute Unit 459 E 1st St Fond Du Lac WI 54935-4505 Ph: (920) 929-3500 |
| NPI Number | 1235252024 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 11/27/2019 |
| Medicare PECOS PAC ID | 2668376245 |
|---|---|
| Medicare Enrollment ID | O20101116000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235252024 | NPI | - | NPPES |
| 10062400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
Fond Du Lac County Department Of Community Programs Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
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