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Organization

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - AUTISM

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 (CHIEF FINANCIAL OFFICER)
(608) 251-4156
Entity
Organization

Contact information

Practice address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 257-9700
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156
(608) 662-4984

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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