FORT HEALTHCARE INC (NPI# 1417450115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417450115 |
Entity Type | Organization |
Organization Name | FORT HEALTHCARE INC |
Other Organization Name | RHC |
Practice Address |
500 Mcmillen St Fort Atkinson WI 53538-1233 |
Mailing Address |
Po Box 249 Fort Atkinson WI 53538-0249 |
Practice Telephone | 9205635571 |
Practice Fax Number | 9205637705 |
Mailing Telephone | 9205685411 |
Mailing Fax Number | 9205684004 |
Enumeration Date | 2018-03-09 |
Last Update Date | 2020-03-11 |
Authorized Official Name | BRIAN SULLIVAN (MANAGER, PATIENT FINANCIAL SERVICES) |
Authorized Official Telephone | 9205685411 |
Authorized Official Credential | CPA |
Is Organization Subpart | Y |
Parent Organization Name | FORT HEALTHCARE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RHC | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1520 Madison Ave, Fort Atkinson, WI 535383100 | 9205635500 | 9205634472 |
840 W Racine St, Jefferson, WI 535491053 | 9206746000 | 9206743034 |
1461 W Main St, Whitewater, WI 531901568 | 2624735888 | 2624733960 |
400 Doctors Ct, Johnson Creek, WI 530389567 | 9206994000 | 9206995355 |
650 Mcmillen St, Fort Atkinson, WI 535381275 | 9205638900 | 9205630318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598826489 | Fort Healthcare Inc | Urology | 520 Handeyside Ln, Ste 2, Fort Atkinson, WI 53538-1277 | 2006-12-13 |
1215255435 | Fort Healthcare Inc | Orthopaedic Surgery | 1504 Madison Ave, Fort Atkinson, WI 53538-3100 | 2010-05-12 |
1629287180 | Fort Healthcare Inc | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2007-05-22 |
1831252196 | Fort Healthcare Inc | Social Worker | 509 Mcmillen St, Fort Atkinson, WI 53538-1263 | 2006-12-18 |
1669533840 | Fort Healthcare Inc | Otolaryngology | 512 Wilcox St, Fort Atkinson, WI 53538-1254 | 2006-12-12 |
1861552218 | Fort Healthcare Inc | Family Medicine | 840 W Racine St, Jefferson, WI 53549-1053 | 2006-12-08 |
1952461311 | Fort Healthcare Inc | Urology | 20 N Church St, Elkhorn, WI 53121-1770 | 2006-12-08 |
1720148182 | Fort Healthcare Inc | Psychologist | 402 Gammon Pl, Suite 380, Madison, WI 53719-1045 | 2006-12-08 |
1083623383 | Fort Healthcare Inc | Psychologist | 400 Doctors Ct, Johnson Creek, WI 53038-9567 | 2006-08-05 |
1417993361 | Fort Healthcare Inc | Psychologist | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-06-21 |
Street Address |
500 MCMILLEN ST |
City | FORT ATKINSON |
State | WI |
Zip Code | 53538-1233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326043266 | Donald L Williams | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-16 |
1467960955 | Fawn Bingham | Nurse Practitioner | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2018-01-18 |
1205232626 | Lauren P Mayer | Nurse Practitioner | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2014-11-12 |
1649699067 | Catherine L Sweeney | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2014-04-14 |
1760686729 | Julia R Dewey | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2007-06-13 |
1629287180 | Fort Healthcare Inc | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2007-05-22 |
1255545646 | Sleem F'guyer | Internal Medicine | 500 Mcmillen St, Fort Healthcare Internal Medicine & Pediatrics, Fort Atkinson, WI 53538-1233 | 2007-05-09 |
1770558066 | Internal Medicine & Pediatrics, S.c. | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2006-02-21 |
1902802416 | Thomas Tackman | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-21 |
1700881869 | Laura Koenig | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
Find all providers in zip 53538 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
Find all providers with the same taxonomy |
City | FORT ATKINSON |
Zip Code | 53538 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.