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General NPI Number Information
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NPI Number | 1285556779
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Entity Type | Organization
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Legal Business Name | SCENIC BLUFFS HEALTH CENTER, INC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 115 N WACOUTA AVE
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821
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Country | US
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Telephone | 608-654-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 238 FRONT ST
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City | CASHTON
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State | WI
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Zip | 54619-2002
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Country | US
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Telephone | 608-654-5100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIMBERLY A HAWTHORNE
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Credential |
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Telephone | 608-654-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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