| Southwest Health Center, Inc | |
|
3695 Prism Lane Kieler WI 53812-0263 | |
| (608) 348-2331 | |
| Not Available |
| Full Name | Southwest Health Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3695 Prism Lane, Kieler, Wisconsin |
| Authorized Official Name and Position | Jesse Sookochoff (CFO) |
| Authorized Official Contact | 6083424705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Health Center, Inc 1400 Eastside Rd Platteville WI 53818-9800 Ph: (608) 348-2331 | Southwest Health Center, Inc 3695 Prism Lane Kieler WI 53812-0263 Ph: (608) 348-2331 |
| NPI Number | 1164130266 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164130266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Southwest Health Kieler Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3695 Prism Lane, Kieler, WI 53812 Phone: 608-348-2331 |