NPI 1194011346

Madison Health Services

Organisation Preferred Provider Organization Madison, WI

Practice location

Address: 3113 E Washington Ave, Madison, WI 53704-4330
Phone: (608) 242-0220
Fax: (608) 242-1166

Authorised official

Name: Chad Redman
Title: Clinic Director
Phone: (608) 242-0220

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 15375-131 (WI)

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Registry record

NPI: 1194011346
Entity type: Organization
NPI issued: 27 Jun 2011
Record last updated: 27 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.