Organization
FAMILY & CHILDREN'S CENTER, INC
Active
Parent organization
FAMILY & CHILDREN'S CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY & CHILDREN'S CENTER, INC
Authorized official
JOHN BURGESS (CEO, PRESIDENT)
(608) 785-0001
Entity
Organization
Contact information
Practice address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125604E211
UCARE
—
01
—
163907000
MAGELLAN
WI
01
—
3H050SC
BCBS-MN
MN
05
—
42190500
—
WI
01
—
HPFIN77035
HEALTHPARTNERS
MN
Enumeration date
03/05/2007
Last updated
07/09/2010
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