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Organization
AMERICAN COMMUNITY MEDICAL CENTER INC.
Active
Organization
AMERICAN COMMUNITY MEDICAL CENTER INC.
Active
Other names
AC Medical Center or ACMC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASMIN YUSUF-SAFAVI MD (MEDICAL DIRECTOR)
(608) 443-9111
Entity
Organization
Contact information
Practice address
1421 S PARK ST, MADISON, WI 53715-2178
(608) 441-6888
(608) 441-6888
Mailing address
1421 S PARK ST, MADISON, WI 53715-2178
(608) 441-6888
(608) 441-6888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43432-20
WI
207R00000X
Internal Medicine Physician
43432-20
WI
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
43432-20
WI
261Q00000X
Clinic/Center
43432-20
WI
261QC1500X
Community Health Clinic/Center
434322-020
WI
363A00000X
Physician Assistant
1744
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104127067
—
WI
01
—
1588705032
NPI
WI
Enumeration date
11/09/2010
Last updated
03/28/2014
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