Healthcare Provider Details

I. General information

NPI: 1134063977
Provider Name (Legal Business Name): MEADOWOOD HEALTH PARTNERSHIP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5902 RAYMOND RD
MADISON WI
53711-4100
US

IV. Provider business mailing address

5902 RAYMOND RD
MADISON WI
53711-4100
US

V. Phone/Fax

Practice location:
  • Phone: 608-896-5287
  • Fax:
Mailing address:
  • Phone: 608-896-5287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. SHERAY L WALLACE
Title or Position: DIRECTOR
Credential: COMMUNITY HEALTH WOR
Phone: 608-622-2355