| Group Health Cooperative Of South Central Wi - Capitol Regent Bh | |
|
740 Regent St Ste 302 Madison WI 53715-2647 | |
| (608) 251-4156 | |
| Not Available |
| Full Name | Group Health Cooperative Of South Central Wi - Capitol Regent Bh |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 740 Regent St Ste 302, Madison, Wisconsin |
| Authorized Official Name and Position | Bruce Quade (CFO) |
| Authorized Official Contact | 6082514156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Group Health Cooperative Of South Central Wi - Capitol Regent Bh 1265 John Q Hammons Drive Madison WI 53717 Ph: (608) 251-4156 | Group Health Cooperative Of South Central Wi - Capitol Regent Bh 740 Regent St Ste 302 Madison WI 53715-2647 Ph: (608) 251-4156 |
| NPI Number | 1467889238 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467889238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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