Group Health Cooperative of South Central Wi - Foundations Iop

NPI #1871342949 in Madison, Wisconsin

Provider Information

NPI Number: 1871342949
Entity Type: Organization
Organization Name: Group Health Cooperative of South Central Wi - Foundations Iop
Subpart: Yes (part of a larger organization)
Parent Organization: GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 8202 EXCELSIOR DR
City: Madison
State: Wisconsin
ZIP Code: 53717-1906
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	Primary

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