Organization
AMERICAN COMMUNITY MEDICAL CENTER INC.
Active
Other names
AC Medical Center or ACMC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASMIN YUSUF-SAFAVI MD (MEDICAL DIRECTOR)
(608) 443-9111
Entity
Organization
Contact information
Practice address
1421 S PARK ST, MADISON, WI 53715-2178
(608) 441-6888
(608) 441-6888
Mailing address
1421 S PARK ST, MADISON, WI 53715-2178
(608) 441-6888
(608) 441-6888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43432-20
WI
207R00000X
Internal Medicine Physician
43432-20
WI
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
43432-20
WI
261Q00000X
Clinic/Center
43432-20
WI
261QC1500X
Community Health Clinic/Center
434322-020
WI
363A00000X
Physician Assistant
1744
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104127067
—
WI
01
—
1588705032
NPI
WI
Enumeration date
11/09/2010
Last updated
03/28/2014
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