Organization
SCENIC BLUFFS HEALTH CENTER, INC.
Active
Organization
SCENIC BLUFFS HEALTH CENTER, INC.
Active
Other names
Scenic Bluffs Community Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY HAWTHORNE (CEO)
(608) 654-5100
Entity
Organization
Contact information
Practice address
238 FRONT ST, CASHTON, WI 54619
(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
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32955800
—
WI
05
—
33247200
—
WI
Enumeration date
02/15/2006
Last updated
09/13/2024
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