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EDGEWOOD COLLEGE HEALTH SERVICES NPI 1437604691


NPI Information

NPI: 1437604691
Provider Name: EDGEWOOD COLLEGE HEALTH SERVICES
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 52D0983337

Address:
1000 EDGEWOOD COLLEGE DR
PREDOLIN 208
MADISON, WI
ZIP 53711
Phone: (608) 772-3004
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EDGEWOOD COLLEGE HEALTH SERVICES is a student health clinic center in Madison, WI. EDGEWOOD COLLEGE HEALTH SERVICES NPI is 1437604691. The provider is registered as an organization entity type.

The provider's business location address is:

1000 EDGEWOOD COLLEGE DR
PREDOLIN 208
MADISON, WI
ZIP 53711-997
Phone: (608) 772-3004

The provider's authorized official is Kimberly A Moreland .
The authorized official title is Director, Health Services and has the following contact phone number (608) 663-8334.

The CLIA number assigned to this NPI record is 52D0983337 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.


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
1261QS1000XClinic/CenterStudent HealthYes

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

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