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ACCESS COMMUNITY HEALTH CENTERS INC. NPI 1417055617


NPI Information

NPI: 1417055617
Provider Name: ACCESS COMMUNITY HEALTH CENTERS, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 52D0393319

Address:
3434 E WASHINGTON AVE
MADISON, WI
ZIP 53704
Phone: (608) 443-5500
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ACCESS COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Madison, WI. ACCESS COMMUNITY HEALTH CENTERS, INC. NPI is 1417055617. The provider is registered as an organization entity type.

The provider's business location address is:

3434 E WASHINGTON AVE
MADISON, WI
ZIP 53704-155
Phone: (608) 443-5500
Fax: (608) 443-5554

The provider's authorized official is Joanne Holland .
The authorized official title is Chief Financial Officer and has the following contact phone number (608) 443-5518.

The CLIA number assigned to this NPI record is 52D0393319 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/3/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)37-800WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000074225MEDICARE OSCAR/CERTIFICATIONWISCONSIN
2521848MEDICARE OSCAR/CERTIFICATIONWISCONSIN
332957700MEDICAIDWISCONSIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.