Church Health Services, Inc. | |
115 N Center St Beaver Dam WI 53916-2119 | |
(920) 887-1766 | |
(920) 887-2322 |
Full Name | Church Health Services, Inc. |
---|---|
Speciality | Clinic/center - Dental |
Location | 115 N Center St, Beaver Dam, Wisconsin |
Authorized Official Name and Position | Susan Osteen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9208871766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Church Health Services, Inc. 115 N Center St Beaver Dam WI 53916-2119 Ph: (920) 887-1766 | Church Health Services, Inc. 115 N Center St Beaver Dam WI 53916-2119 Ph: (920) 887-1766 |
NPI Number | 1154743177 |
---|---|
Provider Enumeration Date | 01/10/2014 |
Last Update Date | 01/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154743177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 27426020 (Wisconsin) | Primary |
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