Organization
FOND DU LAC COUNTY
Active
Organization
FOND DU LAC COUNTY
Active
Other names
Fond du Lac County DCP Acute Unit
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J R MUSUNURU MD (CLINICAL DIRECTOR)
(920) 929-3500
Entity
Organization
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10062400
—
WI
Enumeration date
04/09/2007
Last updated
11/27/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up