GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (NPI# 1255342754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255342754 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| Other Organization Name | GHC CAPITOL PHARMACY |
| Practice Address |
675 W Washington Ave Madison WI 53703-2637 |
| Mailing Address |
Po Box 44971 Madison WI 53744-4971 |
| Practice Telephone | 6082575178 |
| Practice Fax Number | 6082521401 |
| Mailing Telephone | 6088284811 |
| Mailing Fax Number | 6088284810 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | LAURIE FLAGEL DEAN (PHARMACY OPERATIONS) |
| Authorized Official Telephone | 6088284811 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
7476-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2108703 | 01 |
| Other Name | Type Code |
|---|---|
| GHC CAPITOL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245260165 | Group Health Cooperative of South Central Wisconsin | Health Maintenance Organization | 8202 Excelsior, Madison, WI 53717 | 2006-07-04 |
| 1649689316 | Group Health Cooperative of South Central Wisconsin | Clinic/Center | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-08-07 |
| 1427465830 | Group Health Cooperative of South Central Wisconsin | Dietitian, Registered | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-07-17 |
| 1346251840 | Group Health Cooperative of South Central Wisconsin | Pharmacy | 8202 Excelsior Dr, Madison, WI 53717-1906 | 2006-08-10 |
| 1790796290 | Group Health Cooperative of South Central Wisconsin | Pharmacy | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2006-08-10 |
| Street Address |
675 W WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861481699 | Patricia Ruth Witte | Family Medicine | 675 W Washington Ave, Madison, WI 53703-2637 | 2005-10-14 |
| 1386125656 | Sara Camacho | Counselor | 675 W Washington Ave, Madison, WI 53703-2637 | 2018-08-24 |
| 1407340177 | Rebekah Lynn Steidinger | Physical Therapist | 675 W Washington Ave, Madison, WI 53703-2637 | 2018-06-18 |
| 1972012284 | Sarah Henson | Pharmacist | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-09-29 |
| 1356867006 | Kyoko Felland | Physician Assistant | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-08-15 |
| 1255860318 | Kaitlin Alexandra Kamer | Physician Assistant | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-06-12 |
| 1831628825 | Shane Berken | Pharmacist | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-06-05 |
| 1659810109 | Jillian Utschig | Pharmacist | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-02-16 |
| 1922542760 | Amanda Grace Slawter | Social Worker | 675 W Washington Ave, Madison, WI 53703-2637 | 2016-12-13 |
| 1922470673 | Sarah Spolum | Physician Assistant | 675 W Washington Ave, Madison, WI 53703-2637 | 2015-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
Please comment or provide details below to improve the information on GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.