Group Health Cooperative Of South Central Wisconsin
Pharmacy, Managed Care Organization Pharmacy in Fitchburg, WI. Organization (NPI-2).
NPI number1790796290
StatusActive
Last updated in NPPESAug 8, 2013
Details
- NPI
- 1790796290
- Entity type
- Organization (NPI-2)
- Legal business name
- Group Health Cooperative Of South Central Wisconsin
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Aug 8, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336M0003X | Pharmacy, Managed Care Organization Pharmacy | 8468-42 | WI | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Ghc Hatchery Hill Pharmacy (Doing Business As)
Practice location
3051 Cahill MainFitchburg, WI 53711-7109
Phone 608-661-7220 · Fax 608-661-7216
Mailing address
Po Box 44971Madison, WI 53744-4971
Phone 608-828-4811 · Fax 608-828-4810
Authorized official
Laurie Flagel Dean
Pharmacy Operations
6088284811
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