| Fort Healthcare Inc | |
|
611 Sherman Ave E Fort Atkinson WI 53538-1960 | |
| (920) 563-5571 | |
| (920) 563-7705 |
| Full Name | Fort Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 Sherman Ave E, Fort Atkinson, Wisconsin |
| Authorized Official Name and Position | Shelby Walling (PAYER CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9205634466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Healthcare Inc Po Box 249 Fort Atkinson WI 53538-0249 Ph: (920) 568-6580 | Fort Healthcare Inc 611 Sherman Ave E Fort Atkinson WI 53538-1960 Ph: (920) 563-5571 |
| NPI Number | 1417450115 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 06/11/2026 |
| Medicare PECOS PAC ID | 0840189718 |
|---|---|
| Medicare Enrollment ID | O20180417000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417450115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Wisconsin) | Primary |
Internal Medicine & Pediatrics, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7711 Fax: 920-563-7705 | |
Fort Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-5412 |