| Scenic Bluffs Health Center, Inc | |
|
615 Main St De Soto WI 54624-8644 | |
| (608) 654-5100 | |
| (608) 654-5120 |
| Full Name | Scenic Bluffs Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 615 Main St, De Soto, Wisconsin |
| Authorized Official Name and Position | Kim Hawthorne (CEO) |
| Authorized Official Contact | 6086545100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic Bluffs Health Center, Inc Po Box 39 Cashton WI 54619-0039 Ph: () - | Scenic Bluffs Health Center, Inc 615 Main St De Soto WI 54624-8644 Ph: (608) 654-5100 |
| NPI Number | 1003642158 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003642158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |