Organization · NPI-2

American Community Medical Center INC.

Family Medicine · Madison, WI

NPI number1104127067
StatusActive
Last updated in NPPESMar 28, 2014

Details

NPI
1104127067
Entity type
Organization (NPI-2)
Legal business name
American Community Medical Center INC.
Organization subpart
No
Enumeration date
Nov 9, 2010
Last updated
Mar 28, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine43432-20WIYes
261Q00000X Clinic/Center43432-20WI
208000000X Pediatrics––
261QC1500X Clinic/Center, Community Health434322-020WI
207VG0400X Obstetrics & Gynecology, Gynecology––
208D00000X General Practice43432-20WI
363A00000X Physician Assistant1744WI
207R00000X Internal Medicine43432-20WI

Other names

  • Ac Medical Center Or Acmc (Other Name)

Practice location

1421 S Park St
Madison, WI 53715-2178

Phone 608-441-6888 · Fax 608-441-6888

Mailing address

1421 S Park St
Madison, WI 53715-2178

Phone 608-441-6888 · Fax 608-441-6888

Authorized official

Yasmin Yusuf-Safavi
Medical Director
6084439111

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