Provider Demographics
NPI:1821127424
Name:FAMILY & CHILDRENS CENTER
Entity type:Organization
Organization Name:FAMILY & CHILDRENS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REVENUE BILLING SPECIALIST LEAD
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-785-0001
Mailing Address - Street 1:1707 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-4200
Mailing Address - Country:US
Mailing Address - Phone:608-785-0001
Mailing Address - Fax:608-785-0002
Practice Address - Street 1:811 MONITOR ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54603-3188
Practice Address - Country:US
Practice Address - Phone:608-785-0001
Practice Address - Fax:608-785-0002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY & CHILDRENS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-02
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
125604E211OtherUCARE
WI42190500Medicaid
WI28030OtherSECURITY HEALTH PLAN
MN84G10FAOtherBCBS-MD
WI163907000OtherMAGELLAN
MN607672600Medicaid
MN016L5FAOtherBCBS-MS
WIXXXXXXXXX011OtherBCBS-WI
MN389K3FAOtherBCBS-LCSW
MN3H050SCOtherBCBS-PHD
MNHPFIN77035OtherHEALTHPARTNERS
WI000084005Medicare PIN