| Family & Children's Center, Inc | |
|
1707 Main St La Crosse WI 54601-4200 | |
| (608) 785-0001 | |
| (608) 785-0002 |
| Full Name | Family & Children's Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1707 Main St, La Crosse, Wisconsin |
| Authorized Official Name and Position | John Burgess (CEO, PRESIDENT) |
| Authorized Official Contact | 6087850001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Children's Center, Inc 1707 Main St La Crosse WI 54601-4200 Ph: (608) 785-0001 | Family & Children's Center, Inc 1707 Main St La Crosse WI 54601-4200 Ph: (608) 785-0001 |
| NPI Number | 1336278548 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336278548 | NPI | - | NPPES |
| 42190500 | Medicaid | WI | |
| 125604E211 | Other | UCARE | |
| HPFIN77035 | Other | MN | HEALTHPARTNERS |
| 163907000 | Other | WI | MAGELLAN |
| 3H050SC | Other | MN | BCBS-MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
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Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
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