Organization
SOUTHWEST HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SOOKOCHOFF (CFO)
(608) 348-2331
Entity
Organization
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818
(608) 348-2331
(608) 342-4763
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
(608) 342-4756
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1059
WI
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11000600
—
WI
05
—
11000610
—
WI
05
—
1100600
—
WI
Enumeration date
10/16/2006
Last updated
12/17/2021
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