SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM NPI 1891937090

NPI Information

  • NPI: 1891937090
  • Provider Name: SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Doing Business As: DENTAL HYGIENE SERVICES AND DENTAL REFERRAL
  • CLIA Number: 52D2167284
  • Address: 275 W MAIN ST
    PLATTEVILLE, WI
    ZIP 53818
  • Phone: (608) 348-9766

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NPI Details

SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM is a public health or welfare in Platteville, WI. SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM NPI is 1891937090. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental Hygiene Services And Dental Referral.

The provider's business location address is:

275 W MAIN ST
PLATTEVILLE, WI
ZIP 53818-110
Phone: (608) 348-9766
Fax: (608) 348-3915

The provider's authorized official is Walter Orzechowski .
The authorized official title is Executive Director and has the following contact phone number (608) 935-2326.

The CLIA number assigned to this NPI record is 52D2167284 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 4/2/2009.

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
1251K00000XPublic Health or Welfare139651030WISCONSINNo
2251K00000XPublic Health or Welfare4521016WISCONSINYes

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
11538311048MEDICAIDWISCONSIN

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: 11/21/2025

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