| Southwestern Wi Communty Action Program | |
|
275 W Main St Platteville WI 53818-3110 | |
| (608) 348-9766 | |
| (608) 348-3915 |
| Full Name | Southwestern Wi Communty Action Program |
|---|---|
| Speciality | Clinic/center |
| Location | 275 W Main St, Platteville, Wisconsin |
| Authorized Official Name and Position | Jacquelyne Anne Bodden (PROGRAM DIRECTOR/NURSE PRACTITIONER) |
| Authorized Official Contact | 6083489766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Wi Communty Action Program 275 W Main St Po Box 704 Platteville WI 53818-3110 Ph: (608) 348-9766 | Southwestern Wi Communty Action Program 275 W Main St Platteville WI 53818-3110 Ph: (608) 348-9766 |
| NPI Number | 1649536442 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649536442 | NPI | - | NPPES |
| 41863200 | Medicaid | WI | |
| 44008100 | Medicaid | WI | |
| 42005400 | Medicaid | WI | |
| 43973600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Southwest Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Eastside Rd, Platteville, WI 53818 Phone: 608-348-2331 | |
Southwest Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1450 Eastside Rd, Platteville, WI 53818 Phone: 608-348-2331 | |
University Of Wisconsin System Non Payroll Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 University Plz, Platteville, WI 53818 Phone: 608-342-1891 Fax: 608-342-1028 | |
Maski & Maski Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 E Bus Hwy 151, Suite A, Platteville, WI 53818 Phone: 608-348-4677 Fax: 608-348-7774 |