Cms Fond Du Lac

LBN: Premier Care Of Wisconsin, Llc.
Cms Fond Du Lac is an health care organization with primary practice located at 23 W Scott St , Fond Du Lac WI 54935-2342. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Premier Care Of Wisconsin, Llc. can be contacted via phone (920) 926-0101, or through Gaither, Cindy via phone (602) 248-8886.

Contact Information

Primary practice address
23 W Scott St Fond Du Lac WI 54935-2342
Phone: (920) 926-0101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gaither, Cindy
Phone: (602) 248-8886

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Community/Behavioral Health 251S00000X 3075 Wisconsin
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1346620952
LBN Legal business name Premier Care Of Wisconsin, Llc.
DBA Doing business as Cms Fond Du Lac
Authorized official Gaither, Cindy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2015
Last updated Feb 10th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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