| Hidden Springs Clinic | |
|
S1597 Hanson Rd Westby WI 54667-8396 | |
| (608) 634-2574 | |
| (608) 634-6918 |
| Full Name | Hidden Springs Clinic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | S1597 Hanson Rd, Westby, Wisconsin |
| Authorized Official Name and Position | Dean Alan Jensen (OWNER DIRECTOR) |
| Authorized Official Contact | 6086342574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Springs Clinic S1597 Hanson Rd Westby WI 54667-8396 Ph: (608) 634-2574 | Hidden Springs Clinic S1597 Hanson Rd Westby WI 54667-8396 Ph: (608) 634-2574 |
| NPI Number | 1447476247 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447476247 | NPI | - | NPPES |
| 43586200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2565 (Wisconsin) | Primary |