Organization
WATERTOWN REGIONAL MEDICAL CENTER INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER INC
Other names
Directions Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER INC
Authorized official
MR. ROBERT JAMES KLUGE (PATIENT ACCOUNTS MANAGER)
(920) 262-4784
Entity
Organization
Contact information
Practice address
129 HOSPITAL DR, WATERTOWN, WI 53098-3334
(920) 262-4800
(920) 262-4813
Mailing address
129 HOSPITAL DR, WATERTOWN, WI 53098-3334
(920) 262-4800
(920) 262-4813
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42169000
—
WI
Enumeration date
10/11/2005
Last updated
04/14/2010
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