Group Health Cooperative Of South Central Wi - Autism | |
675 W Washington Ave Madison WI 53703-2637 | |
(608) 257-9700 | |
Not Available |
Full Name | Group Health Cooperative Of South Central Wi - Autism |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 675 W Washington Ave, Madison, Wisconsin |
Authorized Official Name and Position | Bruce Quade (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6082514156 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Group Health Cooperative Of South Central Wi - Autism 1265 John Q Hammons Dr Madison WI 53717-1921 Ph: (608) 251-4156 | Group Health Cooperative Of South Central Wi - Autism 675 W Washington Ave Madison WI 53703-2637 Ph: (608) 257-9700 |
NPI Number | 1871334045 |
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Provider Enumeration Date | 06/03/2024 |
Last Update Date | 06/03/2024 |
Certification Date | 06/03/2024 |
Identifier | Type | State | Issuer |
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1871334045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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