NPIMap

Organization Active NPI

Group Health Cooperative of South Central Wisconsin

  • Managed Care Organization Pharmacy
  • Fitchburg, WI
National Provider Identifier
1790796290
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
8468-42 Issued in WI
Legal business name
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Practice address
3051 Cahill Main
Fitchburg, WI 53711-7109
Phone
(608) 661-7220
Fax
(608) 661-7216
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Laurie Flagel Dean, RPH
Title
Pharmacy Operations
Phone
(608) 828-4811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Managed Care Organization Pharmacy 3336M0003X 8468-42 WI Primary

Addresses

Primary practice location

3051 Cahill Main
Fitchburg, WI 53711-7109

Mailing address

PO Box 44971
Madison, WI 53744-4971
Phone (608) 828-4811

Other identifiers 1

IdentifierTypeStateIssuer
2110283OtherPK

Other names 1

  • GHC HATCHERY HILL PHARMACY Doing business as

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

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1790796290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44971",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537444971",
            "telephone_number": "608-828-4811",
            "fax_number": "608-828-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CAHILL MAIN",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117109",
            "telephone_number": "608-661-7220",
            "fax_number": "608-661-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "FLAGEL DEAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "608-828-4811",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "WI",
            "license": "8468-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GHC HATCHERY HILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.