| Access Community Health Centers, Inc. | |
|
1102 S Park St Madison WI 53715-1714 | |
| (608) 443-5500 | |
| (608) 263-6663 |
| Full Name | Access Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 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. 1102 S Park St Madison WI 53715-1714 Ph: (608) 443-5500 |
| NPI Number | 1669654307 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 08/03/2016 |
| Medicare PECOS PAC ID | 0345153672 |
|---|---|
| Medicare Enrollment ID | O20130715000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669654307 | 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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