Organization
SCENIC BLUFFS HEALTH CENTER, INC
Active
Parent organization
SCENIC BLUFFS HEALTH CENTER, INC
Other names
Scenic Bluffs Community Health Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCENIC BLUFFS HEALTH CENTER, INC
Authorized official
KIM HAWTHORNE (CEO)
(608) 654-5100
Entity
Organization
Contact information
Practice address
100 BLACKHAWK DR, VIROQUA, WI 54665-1315
(608) 654-5100
Mailing address
PO BOX 39, CASHTON, WI 54619-0039
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
09/13/2024
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