Organization Name: | PARTNERSHIP COMMUNITY HEALTH CENTER, INC |
NPI Number: | 1225074008 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTENE SUSAN STACKER (EXECUTIVE DIRECTOR, CEO) |
Mailing Address: | 1814 N Appleton Rd Menasha |
State: | WI US |
Postal Code: | 54952 |
Phone Number: | 9207317445 |
Fax Number: | 9207317490 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 02/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 6063800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |