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Organization
SOUTHWESTERN WI COMMUNTY ACTION PROGRAM
Active
Organization
SOUTHWESTERN WI COMMUNTY ACTION PROGRAM
Active
Other names
SWCAP Neighborhood Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNE ANNE BODDEN NP (PROGRAM DIRECTOR/NURSE PRACTITIONER)
(608) 348-9766
Entity
Organization
Contact information
Practice address
275 W MAIN ST, PLATTEVILLE, WI 53818-3110
(608) 348-9766
(608) 348-3915
Mailing address
275 W MAIN ST, PO BOX 704, PLATTEVILLE, WI 53818-3110
(608) 348-9766
(608) 348-3915
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41863200
—
WI
05
—
42005400
—
WI
05
—
43973600
—
WI
05
—
44008100
—
WI
Enumeration date
04/05/2012
Last updated
04/05/2012
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