# SOUTHWESTERN WI COMMUNTY ACTION PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SWCAP Neighborhood Health Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649536442
- **Authorized official:** JACQUELYNE ANNE BODDEN NP (PROGRAM DIRECTOR/NURSE PRACTITIONER)
- **Authorized official phone:** (608) 348-9766

## Contact information

- **Practice address:** 275 W MAIN ST, PLATTEVILLE, WI 53818-3110
- **Practice address phone:** (608) 348-9766
- **Practice address fax:** (608) 348-3915
- **Mailing address:** 275 W MAIN ST, PO BOX 704, PLATTEVILLE, WI 53818-3110
- **Mailing address phone:** (608) 348-9766
- **Mailing address fax:** (608) 348-3915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2012
- **Last updated:** 04/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41863200 | — | WI |
| 05 | — | 42005400 | — | WI |
| 05 | — | 43973600 | — | WI |
| 05 | — | 44008100 | — | WI |