Roots4Change Coop
Roots4Change Coop is a Community Health Clinic/Center in Madison, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
701 E Washington Ave Ste 102Madison, WI 53703-2958
Phone: (904) 385-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X |
|---|
Record details
| NPI number | 1730915190 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Valencia — President · (704) 884-5284 |
| NPI enumerated | September 11, 2024 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | September 11, 2024 |
| Mailing address | 701 E Washington Ave Ste 102, Madison, WI 53703-2958 |
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