| Group Health Cooperative Of South Central Wi - Foundations Iop | |
|
8202 Excelsior Dr Madison WI 53717-1906 | |
| (608) 251-4156 | |
| Not Available |
| Full Name | Group Health Cooperative Of South Central Wi - Foundations Iop |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8202 Excelsior Dr, 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 - Foundations Iop 1265 John Q Hammons Dr Madison WI 53717-1921 Ph: (608) 251-4156 | Group Health Cooperative Of South Central Wi - Foundations Iop 8202 Excelsior Dr Madison WI 53717-1906 Ph: (608) 251-4156 |
| NPI Number | 1871342949 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871342949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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