Organization
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE QUADE (CFO)
(608) 251-4156
Entity
Organization
Contact information
Practice address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156
(608) 662-4984
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156
(608) 662-4984
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
00053899
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69000100
—
WI
Enumeration date
07/04/2006
Last updated
04/11/2024
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