Group Health Cooperative of South Central Wi - East Clinic

NPI #1801229547 in Madison, Wisconsin

Provider Information

NPI Number: 1801229547
Entity Type: Organization
Organization Name: Group Health Cooperative of South Central Wi - East 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: May 16, 2024

Practice Location

Address: 5249 E TERRACE DR
City: Madison
State: Wisconsin
ZIP Code: 53718
Phone: (608) 251-4156

Authorized Official

Name: BRUCE QUADE
Title: CFO
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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