Organization
SOUTHWEST HEALTH CENTER, INC.
Active
Other names
Southwest Health Kieler Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE WILLIAM SOOKOCHOFF (CHIEF FINANCIAL OFFICER)
(608) 348-2331
Entity
Organization
Contact information
Practice address
3695 PRISM LANE, KIELER, WI 53812-0263
(608) 348-2331
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
10/05/2022
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