MEDICARE: FAMILY & CHILDREN'S CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	125604E211	OTHER		UCARE
2	6345926	OTHER	WI	COUNTY PROVIDER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	HPFIN77035	OTHER	MN	HEALTHPARTNERS

General Provider Information

NPI Number	:	1235260878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY & CHILDREN'S CENTER, INC

Provider Business Mailing Address
First Line	:	1707 MAIN ST
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54601-4200
Country	:	US
Telephone Number	:	608-785-0001
Fax Number	:	608-785-0002

Provider Business Practice Location Address
First Line	:	2507 WESTON ST
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54601-6851
Country	:	US
Telephone Number	:	608-787-9415
Fax Number	:	608-788-1920

Authorized Official
Title or Position	:	CEO, PRESIDENT
Name	:	MIKE BOEHM
Credential	:
Telephone Number	:	608-785-0001

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	01/13/2012

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1467583765 — FAMILY & CHILDREN'S CENTER, INC
Practice Location Address:

2505 WESTON ST
LA CROSSE, WI
54601-6851

Practice Phone: 608-787-9403
Practice Fax: 608-788-1920

1497800031 — EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice Location Address:

115 MILFORD DR
MINDEN, LA
71055-6851

Practice Phone: 318-377-8918
Practice Fax:

1174985238 — BOBBY KIZER PHD LLC
Practice Location Address:

6851 MEMPHIS ST
NEW ORLEANS, LA
70124-3341

Practice Phone: 504-899-6873
Practice Fax:

1912464678 — KEITH DIMAGGIO LOTR
Practice Location Address:

6851 VICKSBURG ST
NEW ORLEANS, LA
70124-3343

Practice Phone: 504-382-3865
Practice Fax:

1235927229 — SHARON MCDANIEL BCBA
Practice Location Address:

500 MARINERS PLAZA DR STE 501
MANDEVILLE, LA
70448-6851

Practice Phone: 985-260-1473
Practice Fax:

Directions to “FAMILY & CHILDREN'S CENTER, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.