Southwest Health Center, Inc.
Organization Active NPI Family Medicine Physician · Cuba City, WI
NPI 1194450759 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1194450759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SOUTHWEST HEALTH CENTER, INC.
- Practice address
- 3695 Prism Lane
Cuba City, WI 53807 - Phone
- (608) 348-2331
- NPI assigned
- Jul 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Jesse Sookochoff
- Title
- Chief Financial Officer
- Phone
- (608) 342-2331
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Southwest HLTH Ctr Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3695 Prism Lane
Cuba City, WI 53807
Mailing address
1400 Eastside Rd
Platteville, WI 53818-9800
Other names
- Southwest Health Kieler Clinic
Other providers in Cuba City, WI
- Evan Pluym
- Sahar Rezayazdi
- School District of Cuba City
- Robert R Schroeder
- Southwest Health Center
- Southwest Health Center, Inc.
- Southwest Health Center, Inc.
- St. Marys Dean Ventures Inc.
- SWR1, Inc.
- Elizabeth Ann Thompson I
All providers in Cuba City, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. 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.