| Fond Du Lac County Dcp Ccs Program | |
|
459 E 1st St Fond Du Lac WI 54935-4505 | |
| (920) 929-3500 | |
| Not Available |
| Full Name | Fond Du Lac County Dcp Ccs Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 459 E 1st St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Ruth Ryan (BUSINESS SYSTEMS MANAGER) |
| Authorized Official Contact | 9209293437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fond Du Lac County Dcp Ccs Program 459 E 1st St Fond Du Lac WI 54935-4505 Ph: () - | Fond Du Lac County Dcp Ccs Program 459 E 1st St Fond Du Lac WI 54935-4505 Ph: (920) 929-3500 |
| NPI Number | 1679746630 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679746630 | NPI | - | NPPES |
| 41762900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Fond Du Lac County 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 | |
Positive Clinical Concepts Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Ruggles St, Fond Du Lac, WI 54935 Phone: 801-703-6192 | |
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Optum Behavioral Care Of Colorado, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 3rd St, Fond Du Lac, WI 54935 Phone: 920-733-2065 | |
Alicia Hans Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 N Portland St Ste 2b, Fond Du Lac, WI 54935 Phone: 920-630-1324 Fax: 920-479-2870 | |
Wisconsin Lutheran Child & Family Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 S Main St, Suite 8, Fond Du Lac, WI 54935 Phone: 920-731-9798 Fax: 920-731-1097 |