GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB; NPI #1790112621

Contact Information

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB

8054 WATTS RD.
PRINCETON WEST
MADISON, WI 53719

Phone: 608-662-5060
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB

NPI #	`1790112621`
LBN Legal business name	GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB
Authorized official	BRUCE QUADE - (CFO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	10/10/2013
Last updated	05/13/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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