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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