| Ghc-scw | |
|
1265 John Q Hammons Dr Madison WI 53717-1921 | |
| (608) 251-4156 | |
| Not Available |
| Full Name | Ghc-scw |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1265 John Q Hammons Dr, Madison, Wisconsin |
| Authorized Official Name and Position | Bruce Quade (CFO) |
| Authorized Official Contact | 6082514156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghc-scw 1265 John Q Hammons Dr Madison WI 53717-1921 Ph: (608) 251-4156 | Ghc-scw 1265 John Q Hammons Dr Madison WI 53717-1921 Ph: (608) 251-4156 |
| NPI Number | 1649689316 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 09/02/2025 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649689316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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