| Access Community Health Centers, Inc. | |
|
2202 S Park St Madison WI 53713-1916 | |
| (608) 443-5500 | |
| (608) 443-5534 |
| Full Name | Access Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2202 S Park St, Madison, Wisconsin |
| Authorized Official Name and Position | Joanne Holland (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6084435518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Community Health Centers, Inc. 2901 W Beltline Hwy Suite 120 Madison WI 53713-4226 Ph: (608) 443-5500 | Access Community Health Centers, Inc. 2202 S Park St Madison WI 53713-1916 Ph: (608) 443-5500 |
| NPI Number | 1568675858 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/03/2016 |
| Medicare PECOS PAC ID | 0345153672 |
|---|---|
| Medicare Enrollment ID | O20031111000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568675858 | NPI | - | NPPES |
| 32957700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 37-800 (Wisconsin) | Primary |
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