Organization
CHURCH HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEA O'CONNOR (ACCOUNTING AND FINANCE COORDINATOR)
(920) 887-1766
Entity
Organization
Contact information
Practice address
115 N CENTER ST, BEAVER DAM, WI 53916-2119
(920) 887-1766
(920) 887-2322
Mailing address
115 N CENTER ST, BEAVER DAM, WI 53916-2119
(920) 887-1766
(920) 887-2322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27426020
WI
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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