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Organization

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - FOUNDATIONS IOP

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
8202 EXCELSIOR DR, MADISON, WI 53717-1906
(608) 251-4156
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156

Taxonomy

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

Other

Enumeration date
05/13/2024
Last updated
05/13/2024
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