MEDICARE: SCENIC BLUFFS HEALTH CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588639736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCENIC BLUFFS HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	PO BOX 39
Second Line	:
City	:	CASHTON
State	:	WI
Zip	:	54619-0039
Country	:	US
Telephone Number	:	608-654-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WEST NORTH ST.
Second Line	:
City	:	NORWALK
State	:	WI
Zip	:	54648-0228
Country	:	US
Telephone Number	:	608-654-5100
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KIM HAWTHORNE
Credential	:
Telephone Number	:	608-654-5100

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	10/02/2025

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