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Contact Information

SOUTHWEST HEALTH CENTER INC
1450 EASTSIDE RD
PLATTEVILLE, WI53818-9800
 Phone: 608-342-6200
 Fax: 608-342-6299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHWEST HEALTH CENTER INC

NPI # 1811376031
LBN Legal business name SOUTHWEST HEALTH CENTER INC
Authorized official JESSE SOOKOCHOFF - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2015
Last updated 12/17/2021 - About 4 years ago
Identifiers
WI License # 9329-42
WI Medicaid 100048849
Other 2152790 PK
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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