GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN


Address: 1265 John Q Hammons Dr, Madison, WI 53717-1921
Phone: 6082514156

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (NPI# 1649689316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649689316
Entity Type Organization
Organization Name GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Other Organization Name GHC-SCW
Practice Address 1265 John Q Hammons Dr
Madison
WI 53717-1921
Practice Telephone 6082514156
Mailing Telephone 6082514156
Enumeration Date 2014-08-07
Last Update Date 2014-08-07
Authorized Official Name MR. KEVN HAYDEN (CEO)
Authorized Official Telephone 6082514156
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
360-23 WI Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
GHC-SCW Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245260165 Group Health Cooperative of South Central Wisconsin Health Maintenance Organization 8202 Excelsior, Madison, WI 53717 2006-07-04
1427465830 Group Health Cooperative of South Central Wisconsin Dietitian, Registered 1265 John Q Hammons Dr, Madison, WI 53717-1921 2014-07-17
1346251840 Group Health Cooperative of South Central Wisconsin Pharmacy 8202 Excelsior Dr, Madison, WI 53717-1906 2006-08-10
1790796290 Group Health Cooperative of South Central Wisconsin Pharmacy 3051 Cahill Main, Fitchburg, WI 53711-7109 2006-08-10
1255342754 Group Health Cooperative of South Central Wisconsin Pharmacy 675 W Washington Ave, Madison, WI 53703-2637 2006-08-10

Office Location

Street Address 1265 JOHN Q HAMMONS DR
City MADISON
State WI
Zip Code 53717-1921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437114774 Allison A Philipps Nurse Practitioner 1265 John Q Hammons Dr, Madison, WI 53717-1921 2006-04-19
1255814927 Andrew Joseph Schuck Pharmacist 1265 John Q Hammons Dr, Madison, WI 53717-1921 2018-09-10
1447751045 Paul Douglas Hulseberg Physician Assistant 1265 John Q Hammons Dr, Madison, WI 53717-1921 2018-02-28
1891192456 Monika Zawadzka Nurse Practitioner 1265 John Q Hammons Dr, Madison, WI 53717-1921 2014-11-25
1427465830 Group Health Cooperative of South Central Wisconsin Dietitian, Registered 1265 John Q Hammons Dr, Madison, WI 53717-1921 2014-07-17
1467724930 Michael L Ochowski Pharmacist 1265 John Q Hammons Dr, Suite 200, Madison, WI 53717-1921 2012-01-31
1114214780 Timothy K. Ruder Optometrist 1265 John Q Hammons Dr, Madison, WI 53717-1921 2011-07-05
1649435421 Afton M O'reilly Physical Therapist 1265 John Q Hammons Dr, Madison, WI 53717-1921 2008-07-22
1528244738 Diane Harlowe Occupational Therapist 1265 John Q Hammons Dr, Madison, WI 53717-1941 2008-01-17
1720171531 Nancy Selfridge Family Medicine 1265 John Q Hammons Dr, Madison, WI 53717-1941 2006-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720540164 Apex Chiropractic Center LLC Chiropractor 562 Junction Road, Madison, WI 53717 2019-04-04
1467943795 Brittany Macrander Speech-Language Pathologist 701 Deming Way, Madison, WI 53717 2018-05-22
1144622614 Christopher Leclair Pharmacist 7942 Tree Ln, Suite 201, Madison, WI 53717 2014-09-16
1740617430 Martha Darlene Kniffin Marriage & Family Therapist 1805 Excelsior Dr, The Family Center, Madison, WI 53717 2013-09-26
1740538305 Amber J Thompson Specialist 8202 Excelisor Dr, Madison, WI 53717 2012-08-29
1457622938 Kimberly F Lauth Physician Assistant 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 2012-01-16
1699042499 Cameron K Birch Pharmacist 9741 Tree Lane, Suite 201, Madison, WI 53717 2011-11-22
1508023102 Katherine Jo Hartkopf Pharmacist 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 2008-05-21
1366614885 Periodontal & Implant Specialists of Madison, LLC Dentist 49 N Walbridge Ave., Madison, WI 53717 2008-03-25
1598961005 John H Greist Psychiatry & Neurology Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 2007-06-22
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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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1003283524 The Healthcare Authority of North Alabama Clinic/Center 9238 Madison Blvd, Building 1, Suite 200, Madison, AL 35758-9100 2015-09-01
1689810343 Occupational Health Centers of The Southwest, P.a. Clinic/Center 1719 Gallatin Rd., Madison, TN 37115-2123 2008-12-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932719580 Wheaton Franciscan Healthcare Southeast Wisconsin Inc Clinic/Center 2333 Northwestern Ave Ste 115, Racine, WI 53404-2520 2020-08-07
1225433949 A. Grbich LLC Clinic/Center N48w14336 Hampton Ave, Suite 200, Menomonee Falls, WI 53051-6909 2014-10-23
1013351899 Deerfield Care Cener, LLC Clinic/Center 575 Hospital Road, New Richmond, WI 54017 2013-04-23
1154646230 Saints Health Services for Business Clinic/Center 133 S 16th Pl, Sturgeon Bay, WI 54235-1454 2010-04-01
1366520504 Occupational Health Centers of The Southwest, P.a. Clinic/Center 1147 Warwick Way, Racine, WI 53406-5661 2006-11-02
1255386454 Vita Physical Therapy Sc Clinic/Center 451 E Erie St, Milwaukee, WI 53202-6159 2006-05-24
1710480363 Occupational Health Centers of The Southwest Pa Clinic/Center 875 W Layton Ave, Milwaukee, WI 53221-2426 2018-03-09
1457694341 Occupational Health Centers of The Southwest, Pa Clinic/Center 5500 West Brown Deer Road, Suite 400, Milwaukee, WI 53223-2265 2013-03-29
1548569692 Stay Strong Therapies LLC Clinic/Center 21140 W Capitol Dr, Suite 4, Brookfield, WI 53072-2953 2011-03-15
1003069428 Ministry Medical Group Occupational Medicine Clinic/Center 5412 Us Highway 10 E, Stevens Point, WI 54482-8559 2008-10-29
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Competitor

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City MADISON
Zip Code 53717

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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