Organization
SOUTHWEST HEALTH CENTER
Active
Parent organization
SOUTHWEST HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST HEALTH CENTER
Authorized official
JESSE SOOKOCHOFF (CHIEF FINANCIAL OFFICER)
(608) 348-2331
Entity
Organization
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
12/17/2021
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