GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB – NPI #1790112621
Clinic/Center

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB is an AHC clinic located in MADISON, WI. NPPES has assigned the NPI number 1790112621 to GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB on October 10, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 2 years ago on May 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB below.

NPI Profile for
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB

NPI Number
1790112621
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB
Primary location
8054 WATTS RD.
PRINCETON WEST
MADISON, WI 53719
Phone: (608) 662-5060 Fax:
Mailing address
1265 JOHN Q HAMMONS DRIVE
MADISON, WI 53717
Phone: (608) 251-4156 Fax:
Organization Subpart
Yes - GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - PRINCETON CLUB is subpart of another organization.
Authorized Official
BRUCE QUADE
CFO
Phone: (608) 251-4156
Updated
Certification Date
May 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.