NPIMap

Organization Active NPI

Group Health Cooperative of South Central Wi - Olin Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
National Provider Identifier
1467889238
Registry record updated Apr 25, 2025
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
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - OLIN CLINIC
Practice address
208 E Olin Ave Ste 105
Madison, WI 53713-1427
Phone
(608) 251-4156
NPI assigned
Oct 10, 2013
Organization subpart
Yes
Parent organization
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Bruce Quade
Title
Cfo
Phone
(608) 251-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

208 E Olin Ave Ste 105
Madison, WI 53713-1427

Mailing address

1265 John Q Hammons Drive
Madison, WI 53717
Phone (608) 251-4156

National Provider Directory

National Provider Directory
Tax ID family
Group Health Cooperative of South Central Wi - Admin15 organizations share this tax ID, including this one
Part of
Group Health Cooperative of South Central Wi - Admin

Other organizations with this tax ID 14

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

View all 14

Locations

740 Regent St
Ste 302
Madison, WI 53715

1265 John Q Hammons Dr
Madison, WI 53717

740 Regent St
Ste 106
Madison, WI 53715
Phone (608) 662-5090

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1467889238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 JOHN Q HAMMONS DRIVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53717",
            "telephone_number": "608-251-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E OLIN AVE STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131427",
            "telephone_number": "608-251-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - OLIN CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN",
        "enumeration_date": "2013-10-10",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "QUADE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-251-4156"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.