Church Health Services, Inc.

NPI 1154743177 - Clinic/Center - 261QD0000X

NPI Details
NPI 1154743177
Enumeration Date 01/10/2014
Last Updated 01/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SUSAN SUSAN
Position EXECUTIVE DIRECTOR
Phone (920) 887-1766
Fax (920) 887-2322
Practice Location
115 N CENTER ST
BEAVER DAM WI, 53916-2119, US
Phone (920) 887-1766
Fax (920) 887-2322
Business Location
115 N CENTER ST
BEAVER DAM WI, 53916-2119, US
Phone (920) 887-1766
Fax (920) 887-2322
Toxanomy
Taxonomy Code 261QD0000X
License State Wisconsin
License Number 27426020
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According to our database, Church Health Services, Inc. NPI is 1154743177, taxonomy code is 261QD0000X and license number is 27426020, license state is located at Wisconsin. Church Health Services, Inc. physically located at 115 N Center St, Beaver Dam WI, 53916-2119. NPI Number 1033115704 has the healthcare provider type.

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1154743177 NPI number is provided on an as is basis without warranty of any kind. 1154743177 is maintained by the National Plan & Provider Enumeration System. The contents of Church Health Services, Inc. are for informational purposes only.