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FAC
HSPLACU31
License Number
133
Faciity Name
FORT MEMORIAL HOSPITAL
Address
611 SHERMAN AVE E
City
FORT ATKINSON
State
WI
Zip Code
53538
Telephone
(920) 568-5000
FAX
(920) 568-5412
Admin First Name
MICHAEL
Admin Last Name
ANDERSON
Net Bed Count
49
Team Abbreviation
SER
Accrediated
YES
County
JEFFERSON
Medicare Provider
520071
Medicare Participation Date
01-Jul-66
Subtype
SHORT TERM
Notes
None
Information From
DHS Website
Last Updated
2025-11-30 00:00:00
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