Group Health Cooperative of South Central Wi - East Clinic
Group Health Cooperative of South Central Wi - East Clinic is a Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, Wisconsin. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
5249 E Terrace DrMadison, WI 53718
Phone: (608) 251-4156
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Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1801229547 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Group Health Cooperative of South Central Wisconsin |
| Authorized official | Bruce Quade — Cfo · (608) 251-4156 |
| NPI enumerated | August 16, 2013 |
| Last updated in NPPES | May 16, 2024 |
| Certification date | May 16, 2024 |
| Mailing address | 1265 John Q Hammons Drive, Madison, WI 53717-4971 |
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