GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (NPI# 1790796290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790796290 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| Other Organization Name | GHC HATCHERY HILL PHARMACY |
| Practice Address |
3051 Cahill Main Fitchburg WI 53711-7109 |
| Mailing Address |
Po Box 44971 Madison WI 53744-4971 |
| Practice Telephone | 6086617220 |
| Practice Fax Number | 6086617216 |
| Mailing Telephone | 6088284811 |
| Mailing Fax Number | 6088284810 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | LAURIE FLAGEL DEAN (PHARMACY OPERATIONS) |
| Authorized Official Telephone | 6088284811 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
8468-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2110283 | 01 |
| Other Name | Type Code |
|---|---|
| GHC HATCHERY HILL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245260165 | Group Health Cooperative of South Central Wisconsin | Health Maintenance Organization | 8202 Excelsior, Madison, WI 53717 | 2006-07-04 |
| 1649689316 | Group Health Cooperative of South Central Wisconsin | Clinic/Center | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-08-07 |
| 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 |
| 1255342754 | Group Health Cooperative of South Central Wisconsin | Pharmacy | 675 W Washington Ave, Madison, WI 53703-2637 | 2006-08-10 |
| Street Address |
3051 CAHILL MAIN |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739068 | Kathleen A Trott | Psychiatry & Neurology | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2005-06-09 |
| 1669025458 | Annie Dutcher | Physician Assistant | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2019-07-20 |
| 1720571698 | Chelci Schade | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711 | 2018-06-14 |
| 1033627336 | Katelyn D Beemon | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2018-01-21 |
| 1619492899 | Amy Elizabeth Brinza | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2017-08-08 |
| 1215467758 | Adam Burns | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711 | 2017-06-18 |
| 1982055083 | Thomas Jonathan Waeltz | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2016-06-29 |
| 1104204247 | Rachael Ziska | Internal Medicine | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2015-05-08 |
| 1427443753 | Dylan Steven Ledford | Family Medicine | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2015-04-02 |
| 1609296607 | Amy Louise Rindahl | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2014-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
Please comment or provide details below to improve the information on GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN.
| 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.