# HUDSON PHYSICIANS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HUDSON PHYSICIANS, S.C.
- **Other names:** Hudson Physicians Quick Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316102734
- **Legal business name:** HUDSON PHYSICIANS, S.C.
- **Authorized official:** GERI T HOUSE (CREDENTIALING COORDINATOR ADMIN)
- **Authorized official phone:** (715) 531-6060

## Contact information

- **Practice address:** 2310 CRESTVIEW DR, HUDSON, WI 54016-9315
- **Practice address phone:** (715) 531-6802
- **Practice address fax:** (715) 531-6803
- **Mailing address:** 403 STAGELINE RD, HUDSON, WI 54016-7848
- **Mailing address phone:** (715) 531-6800
- **Mailing address fax:** (715) 531-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | WI | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 09/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000056125 | MEDICARE | WI |
| 05 | — | 32723100 | — | WI |