Church Health Services, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27426020 Issued in WI

Legal business name

CHURCH HEALTH SERVICES, INC.

Practice address

115 N Center St
Beaver Dam, WI 53916-2119

Phone

(920) 887-1766

Fax

(920) 887-2322

NPI assigned

Jan 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Osteen, R.N.

Title

Executive Director

Phone

(920) 887-1766

Specialties & licenses 1

Addresses

Tax ID family

Church Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Church Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaver Dam, WI
  • NPI 1003271180
  NPD tax ID
• Church Health Services, Inc.

  • Family Medicine Physician
  • Beaver Dam, WI
  • NPI 1922468891
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1154743177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162119",
            "telephone_number": "920-887-1766",
            "fax_number": "920-887-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162119",
            "telephone_number": "920-887-1766",
            "fax_number": "920-887-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "OSTEEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-887-1766",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "27426020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Castillo, DO
• Micheal E Ceizyk, PT
• Lyndsey Christenson, APNP
• Carol Christie, CRNA
• Church Health Services
• Church Health Services, Inc.
• City of Beaver Dam Et Al
• Susan Dorsch Clark, OTR
• Richard Clutson, MD
• Edward F Cody, MD

• Dental Clinic/Center in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.