| St. Vincent Hospital-libertas Of Sheboygan | |
|
2108 Kohler Memorial Dr Sheboygan WI 53081-3100 | |
| (920) 498-8600 | |
| Not Available |
| Full Name | St. Vincent Hospital-libertas Of Sheboygan |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2108 Kohler Memorial Dr, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Brian Charlier (COO) |
| Authorized Official Contact | 9206761148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Hospital-libertas Of Sheboygan 2108 Kohler Memorial Dr Sheboygan WI 53081-3100 Ph: (920) 498-8600 | St. Vincent Hospital-libertas Of Sheboygan 2108 Kohler Memorial Dr Sheboygan WI 53081-3100 Ph: (920) 498-8600 |
| NPI Number | 1104297316 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104297316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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