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Organization
SCENIC BLUFFS HEALTH CENTER, INC.
Active
Organization
SCENIC BLUFFS HEALTH CENTER, INC.
Active
Other names
Scenic Bluffs Commmunity Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HAWTHORNE (CEO)
(608) 654-5100
Entity
Organization
Contact information
Practice address
925 N BLACK RIVER ST, SPARTA, WI 54656-1362
(608) 654-5100
(608) 654-5120
Mailing address
PO BOX 39, CASHTON, WI 54619-0039
(608) 654-5100
(608) 654-5120
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
09/13/2024
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