| Southwest Health Kieler Clinic | |
|
3695 Prism Lane Kieler WI 53812-0263 | |
| (608) 348-2331 | |
| Not Available |
| Full Name | Southwest Health Kieler Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3695 Prism Lane, Kieler, Wisconsin |
| Authorized Official Name and Position | Jesse William Sookochoff (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6083482331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Health Kieler Clinic 1400 Eastside Rd Platteville WI 53818-9800 Ph: () - | Southwest Health Kieler Clinic 3695 Prism Lane Kieler WI 53812-0263 Ph: (608) 348-2331 |
| NPI Number | 1285371369 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 3072427772 |
|---|---|
| Medicare Enrollment ID | O20220830001449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285371369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southwest Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3695 Prism Lane, Kieler, WI 53812 Phone: 608-348-2331 |