Organization
PREMIER CARE OF WISCONSIN, LLC.
Active
Other names
CMS FOND DU LAC
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GAITHER (VICE PRESIDENT REVENUE CYCLE MANAGE)
(602) 248-8886
Entity
Organization
Contact information
Practice address
23 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 926-0101
(920) 926-0060
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(160) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/13/2022
Last updated
02/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us