FORT HEALTHCARE INC


Address: 500 Mcmillen St, Fort Atkinson, WI 53538-1233
Phone: 9205635571

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
RHC Other Name - Individual/Organization

Provider Secondary Practice Location

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

Other Provider IDs and Locations

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

Office Location

Street Address 500 MCMILLEN ST
City FORT ATKINSON
State WI
Zip Code 53538-1233

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770123218 Mchs Hospitals, Inc. Clinic/Center 3606 Schneider Ave Se, Menomonie, WI 54751-5674 2020-01-13
1639733173 Lafayette County Clinic/Center 107 Center Street, Argyle, WI 53504 2019-04-30
1942712344 Divine Savior Healthcare, Inc. Clinic/Center N4390 Crossroads Clinic Road, Oxford, WI 53952 2017-10-26
1861904294 Divine Savior Healthcare, Inc. Clinic/Center 102 Gillette Street, Pardeeville, WI 53954 2017-10-25
1366878449 Amery Regional Medical Center, Inc Clinic/Center 357 Third Ave, Clear Lake, WI 54005-0177 2013-09-19
1851652374 St. Croix Regional Medical Center Clinic/Center 26425 Lakeland Avenue South, Webster, WI 54893-8341 2012-05-31
1811256126 St. Croix Regional Medical Center Clinic/Center 205 West Oak Street, Frederic, WI 54837 2012-05-07
1508198961 Door County Memorial Hospital Clinic/Center 3711 Highway 42, Fish Creek, WI 54212 2010-02-09
1174627483 Door County Memorial Hospital Clinic/Center 910 Main Rd, Washington Island, WI 54246 2006-09-08
1881607463 St. Joseph's Health Services, Inc Clinic/Center 301 Railroad Rd, Wonewoc, WI 53968-9425 2006-08-14
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Competitor

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City FORT ATKINSON
Zip Code 53538

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Dataset Information

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.

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