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GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN NPI 1649689316


NPI Information

NPI: 1649689316
Provider Name: GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN

Doing Business As: GHC-SCW

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 52D0392967

Address:
1265 JOHN Q HAMMONS DR
MADISON, WI
ZIP 53717
Phone: (608) 251-4156
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GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN is an occupational medicine clinic center in Madison, WI. GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN NPI is 1649689316. The provider is registered as an organization entity type.
The provider Is Doing Business As Ghc-scw.

The provider's business location address is:

1265 JOHN Q HAMMONS DR
MADISON, WI
ZIP 53717-921
Phone: (608) 251-4156

The provider's authorized official is Kevn Hayden .
The authorized official title is Ceo and has the following contact phone number (608) 251-4156.

The CLIA number assigned to this NPI record is 52D0392967 - health main. organization with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/7/2014 and was last updated on 8/7/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0100XClinic/CenterOccupational Medicine360-23WISCONSINYes

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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