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925 N Black River St Sparta WI 54656-1362 | |
(608) 654-5100 | |
(608) 654-5120 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 925 N Black River St, Sparta, 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 |
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Po Box 39 Cashton WI 54619-0039 Ph: (608) 654-5100 | 925 N Black River St Sparta WI 54656-1362 Ph: (608) 654-5100 |
NPI Number | 1841652021 |
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Provider Enumeration Date | 03/25/2016 |
Last Update Date | 09/13/2024 |
Identifier | Type | State | Issuer |
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1841652021 | NPI | - | NPPES |
Scenic Bluffs Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Franklin St # B3, Sparta, WI 54656 Phone: 608-654-5100 | |