Southwest Health Center
Organization Active NPI Long Term Care Pharmacy · Platteville, WI
NPI 1043462989 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1043462989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- 8464-042 (WI)
- Legal business name
- SOUTHWEST HEALTH CENTER
- Practice address
- 1400 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 348-2331
- Fax
- (608) 342-4713
- NPI assigned
- Oct 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Jesse Sookochoff
- Title
- Chief Financial Officer
- Phone
- (608) 348-2331
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Southwest HLTH Ctr Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 8464-042 | WI | Yes |
Addresses
Primary practice location
1400 Eastside Rd
Platteville, WI 53818-9800
Mailing address
1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33042300 | Medicaid | WI |
Other providers in Platteville, WI
- Simply Country Afh, LLC
- Kristin Ann Sitte
- Lauren Skemp
- Julie Ann Skubal
- Raymond J Sloan
- Southwest Health Center
- Southwest Health Center
- Southwest Health Center Inc
- Southwest Health Center, Inc
- Southwest Health Center, Inc.
All providers in Platteville, WI · Long Term Care Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.