Organization
FORT HEALTHCARE INC
Active
Parent organization
FORT HEALTHCARE INC
Other names
RHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORT HEALTHCARE INC
Authorized official
SHELBY WALLING (CREDENTIALING)
(920) 563-4466
Entity
Organization
Contact information
Practice address
500 MCMILLEN ST, FORT ATKINSON, WI 53538-1233
(920) 563-5571
(920) 563-7705
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 568-5411
(920) 568-4004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
WI
Other
Enumeration date
03/09/2018
Last updated
10/07/2022
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