| Alcocare Inc. | |
|
314 W Court St Janesville WI 53548-3846 | |
| (608) 373-9650 | |
| (608) 754-2651 |
| Full Name | Alcocare Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 314 W Court St, Janesville, Wisconsin |
| Authorized Official Name and Position | Thomas S Bolan (DIRECTOR) |
| Authorized Official Contact | 6087511042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcocare Inc. 314 W Court St Janesville WI 53548-3846 Ph: (608) 373-9650 | Alcocare Inc. 314 W Court St Janesville WI 53548-3846 Ph: (608) 373-9650 |
| NPI Number | 1316297492 |
|---|---|
| Provider Enumeration Date | 09/15/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316297492 | NPI | - | NPPES |
| 1316297492 | Medicaid | WI | |
| 2978 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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