# SOUTHWEST HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023735479
- **Authorized official:** JESSE SOOKOCHOFF AO (AO)
- **Authorized official phone:** (608) 342-4705

## Contact information

- **Practice address:** 3695 PRISM LN, CUBA CITY, WI 53807-0000
- **Practice address phone:** (952) 653-2560
- **Practice address fax:** (952) 653-2540
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
- **Mailing address phone:** (952) 653-2525
- **Mailing address fax:** (952) 653-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2022
- **Last updated:** 10/26/2022