Wildwood Family Clinic Sc

LBN: Wildwood Family Clinic Sc
Wildwood Family Clinic Sc is an health care organization with primary practice located at 4901 Cottage Grove Rd , Madison WI 53716-1392. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wildwood Family Clinic Sc can be contacted via phone (608) 221-1501, or through Green, Sheryl via phone (608) 221-1501.

Contact Information

Primary practice address
4901 Cottage Grove Rd Madison WI 53716-1392
Phone: (608) 221-1501
Fax: (608) 223-3540
Website:
Map and Directions
Authorized official contact:
Name: Green, Sheryl
Phone: (608) 221-1501

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1851300784
LBN Legal business name Wildwood Family Clinic Sc
DBA Doing business as
Authorized official Green, Sheryl
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Jan 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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