NPIMap

Organization Active NPI

Group Health Cooperative of South Central Wi - Autism

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
National Provider Identifier
1871334045
Registry record updated Jun 3, 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
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - AUTISM
Practice address
675 W Washington Ave
Madison, WI 53703-2637
Phone
(608) 257-9700
NPI assigned
Jun 3, 2024
Organization subpart
Yes
Parent organization
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Bruce Quade
Title
Chief Financial Officer
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

675 W Washington Ave
Madison, WI 53703-2637

Mailing address

1265 John Q Hammons Dr
Madison, WI 53717-1921
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

675 W Washington Ave
Madison, WI 53703
Phone (608) 257-5178

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1871334045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 JOHN Q HAMMONS DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171921",
            "telephone_number": "608-251-4156",
            "fax_number": "608-662-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032637",
            "telephone_number": "608-257-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - AUTISM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "QUADE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "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 Jun 3, 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.