NPI 1164516506

State of Wisconsin

Organisation Psychiatric Hospital Winnebago, WI

Practice location

Address: 1300 South Drive, Winnebago, WI 54985-0009
Phone: (920) 235-4910
Fax: (920) 237-2043

Authorised official

Name: Robert G Kneepkens
Title: Director
Phone: (920) 235-4910

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 250 (WI)

Other Psychiatric Hospital providers in Wisconsin →

Registry record

NPI: 1164516506
Entity type: Organization
NPI issued: 2 Oct 2006
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.