AMERICAN COMMUNITY MEDICAL CENTER INC. NPI 1104127067

NPI Information

NPI: 1104127067
Provider Name: AMERICAN COMMUNITY MEDICAL CENTER INC.

Other Name: AC MEDICAL CENTER OR ACMC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1421 S PARK ST
MADISON, WI
ZIP 53715
Phone: (608) 441-6888
Get Directions

AMERICAN COMMUNITY MEDICAL CENTER INC. is a family medicine in Madison, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMERICAN COMMUNITY MEDICAL CENTER INC. NPI is 1104127067. The provider is registered as an organization entity type.
The provider Other Name Is Ac Medical Center Or Acmc.

The provider's business location address is:

1421 S PARK ST
MADISON, WI
ZIP 53715-178
Phone: (608) 441-6888
Fax: (608) 441-6888

The provider's authorized official is Yasmin Yusuf-safavi .
The authorized official title is Medical Director and has the following contact phone number (608) 443-9111.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 3/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		43432-20	WISCONSIN	No
2	208000000X	Pediatrics				No
3	261QC1500X	Clinic/Center	Community Health	434322-020	WISCONSIN	No
4	207VG0400X	Obstetrics & Gynecology	Gynecology			No
5	208D00000X	General Practice		43432-20	WISCONSIN	No
6	363A00000X	Physician Assistant		1744	WISCONSIN	No
7	207R00000X	Internal Medicine		43432-20	WISCONSIN	No
8	207Q00000X	Family Medicine		43432-20	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1588705032	OTHER	WISCONSIN	NPI
2	1104127067	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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