Organization
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - EAST CLINIC
Active
Parent organization
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Authorized official
BRUCE QUADE (CFO)
(608) 251-4156
Entity
Organization
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718
(608) 251-4156
Mailing address
1265 JOHN Q HAMMONS DRIVE, MADISON, WI 53717-4971
(608) 251-4156
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
05/16/2024
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