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NPI Code Detail

MEDICARE: FAMILY SERVICE MADISON INC

MEDICARE: FAMILY SERVICE MADISON 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881806198
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE MADISON INC
Provider Business Mailing Address
First Line : 128 E OLIN AVE
Second Line : SUITE 100
City : MADISON
State : WI
Zip : 53713-1467
Country : US
Telephone Number : 608-316-1186
Fax Number : 608-252-1333
Provider Business Practice Location Address
First Line : 128 E OLIN AVE
Second Line : SUITE 100
City : MADISON
State : WI
Zip : 53713-1467
Country : US
Telephone Number : 608-316-1186
Fax Number : 608-252-1333
Authorized Official
Title or Position : CREDENTIAL COORDINATOR
Name : MS. BRIGID OKEEFE
Credential :
Telephone Number : 608-316-1186
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/21/2022

Similar Medicare Providers

1033072111 — KAITLIN PAIGE WELSH MSW, CAPSW
Practice Location Address:
128 E OLIN AVE STE 100
MADISON, WI
53713-1467
Practice Phone: 608-252-1320
Practice Fax: 608-252-1333
1275501140 — TED D IZYDOR LPC
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1649349648 — MS. ALTHEA W CHANG MS LMFT
Practice Location Address:
128 E OLIN AVE , SUITE 100
MADISON, WI
53713-1467
Practice Phone: 608-252-1320
Practice Fax: 608-252-1333
1649339748 — MR. MICHAEL ERWIN BEILKE LMFT
Practice Location Address:
128 E OLIN AVE , SUITE 100
MADISON, WI
53713-1467
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Practice Fax: 608-252-1333
1275694093 — MS. LINDA SHEEHY MS LPC
Practice Location Address:
128 E OLIN AVE , SUITE 100
MADISON, WI
53713-1467
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Practice Fax: 608-252-1333
1508072182 — ALLISON ADELE HILL-SLAVIN LMFT
Practice Location Address:
128 E OLIN AVE , SUITE 100
MADISON, WI
53713-1467
Practice Phone: 608-316-1186
Practice Fax: 608-252-1328

Directions to “FAMILY SERVICE MADISON INC ” Practice Location

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