Organization
SOUTHWESTERN WI COMMUNTY ACTION PROGRAM
Active
Other names
SWCAP Neighborhood Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNE ANNE BODDEN NP (PROGRAM DIRECTOR/NURSE PRACTITIONER)
(608) 348-9766
Entity
Organization
Contact information
Practice address
275 W MAIN ST, PLATTEVILLE, WI 53818-3110
(608) 348-9766
(608) 348-3915
Mailing address
275 W MAIN ST, PO BOX 704, PLATTEVILLE, WI 53818-3110
(608) 348-9766
(608) 348-3915
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41863200
—
WI
05
—
42005400
—
WI
05
—
43973600
—
WI
05
—
44008100
—
WI
Enumeration date
04/05/2012
Last updated
04/05/2012
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