| Dane County | |
|
1202 Northport Dr Madison WI 53704-2020 | |
| (608) 242-6206 | |
| (608) 242-6246 |
| Full Name | Dane County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1202 Northport Dr, Madison, Wisconsin |
| Authorized Official Name and Position | Patty Hillebrand (ACCOUNTANT) |
| Authorized Official Contact | 6082426206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dane County 1202 Northport Dr Madison WI 53704-2020 Ph: (608) 242-6206 | Dane County 1202 Northport Dr Madison WI 53704-2020 Ph: (608) 242-6206 |
| NPI Number | 1447445515 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447445515 | NPI | - | NPPES |
| 69004200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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