Organization Active NPI

Scenic Bluffs Health Center, Inc

Doing business as Scenic Bluffs Community Health Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Viroqua, WI
National Provider Identifier
1326693847
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SCENIC BLUFFS HEALTH CENTER, INC
Doing business as
Scenic Bluffs Community Health Centers
Practice address
100 Blackhawk Dr
Viroqua, WI 54665-1315
Phone
(608) 654-5100
NPI assigned
Aug 2, 2019
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SCENIC BLUFFS HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Hawthorne
Title
Ceo
Phone
(608) 654-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

100 Blackhawk Dr
Viroqua, WI 54665-1315

Mailing address

PO Box 39
Cashton, WI 54619-0039

Other practice location 1

115 N Education Ave
Viroqua, WI 54665-1318
Phone (608) 654-5100

Other names 1

  • Scenic Bluffs Community Health Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scenic Bluffs Health Center24 organizations share this tax ID, including this one
Part of
Scenic Bluffs Health Center

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

100 Blackhawk Dr
Viroqua, WI 54665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1326693847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546190039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLACKHAWK DR",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651315",
            "telephone_number": "608-654-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Education Ave",
            "address_purpose": "LOCATION",
            "city": "Viroqua",
            "state": "WI",
            "postal_code": "546651318",
            "country_code": "US",
            "telephone_number": "608-654-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCENIC BLUFFS HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCENIC BLUFFS HEALTH CENTER, INC",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-654-5100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic Bluffs Community Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scenic Bluffs Community Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viroqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.