Group Health Cooperative of South Central Wi - Hatchery Clinic

NPI #1205269917 in Fitchburg, Wisconsin

Provider Information

NPI Number: 1205269917
Entity Type: Organization
Organization Name: Group Health Cooperative of South Central Wi - Hatchery Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Aug 16, 2013
Last Updated: Jun 6, 2024

Practice Location

Address: 3051 CAHILL MAIN
City: Fitchburg
State: Wisconsin
ZIP Code: 53711-7109
Phone: (608) 661-7200

Authorized Official

Name: BRUCE QUADE
Title: CHIEF FINANCIAL OFFICER
Phone: (608) 251-4156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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