GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - EAST CLINIC
NPI 1801229547
Clinic/Center - Multi-Specialty in Madison, WI

NPI Status: Active since August 16, 2013

Contact Information

5249 E TERRACE DR
MADISON, WI
ZIP 53718
Phone: (608) 251-4156

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - EAST CLINIC

This page provides the complete NPI Profile along with additional information for Group Health Cooperative Of South Central Wi - East Clinic, a provider established in Madison, Wisconsin operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1801229547 assigned on August 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Bruce Quade (Cfo)

NPI
1801229547
Provider Name
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - EAST CLINIC
Entity Type
Organization
Location Address
5249 E TERRACE DR MADISON, WI 53718
Location Phone
(608) 251-4156
Mailing Address
1265 JOHN Q HAMMONS DRIVE MADISON, WI 53717
Mailing Phone
(608) 251-4156
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-16-2013
Last Update Date
05-16-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Better Together HMO Bronze 6500 Ded/8750 MOOP HSA - HMO
  • Better Together HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
  • Better Together HMO Bronze No Medical Ded/10600 MOOP HSA - HMO
  • Better Together HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
  • Better Together HMO Gold 2000 Ded/8200 MOOP - HMO
  • Better Together HMO Gold 4000 Ded/4000 MOOP HSA - HMO
  • Better Together HMO Platinum 750 Ded/2000 MOOP with Vision - HMO
  • Better Together HMO Platinum No Ded/3300 MOOP - HMO
  • Better Together HMO Platinum No Ded/5200 MOOP - HMO
  • Better Together HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
  • Better Together HMO Silver 5975 Ded/5975 MOOP HSA - HMO
  • Better Together HMO Silver 6000 Ded/8900 MOOP - HMO
  • Partners HMO Bronze 10600 Ded/10600 MOOP HSA - HMO
  • Partners HMO Bronze 6000 Ded/10600 MOOP HSA - HMO
  • Partners HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
  • Partners HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
  • Partners HMO Gold 2000 Ded/8200 MOOP - HMO
  • Partners HMO Gold 4000 Ded/4000 MOOP HSA - HMO
  • Partners HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
  • Partners HMO Silver 5975 Ded/5975 MOOP HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRUCE QUADE

Authorized Official Title
CFO
Authorized Official Phone
(608) 251-4156

Reviews for GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI - EAST CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801229547, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 4 + 2 + 1 + 8 + 5 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1801229547.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Optometrist
5249 E TERRACE DR
MADISON, WI 53718
Internal Medicine
5249 E TERRACE DR
MADISON, WI 53718
Internal Medicine (Geriatric Medicine)
5249 E TERRACE DR
MADISON, WI 53718
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Pediatrics
5249 E TERRACE DR
MADISON, WI 53718
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Clinical Nurse Specialist
5249 E TERRACE DR
MADISON, WI 53718
Marriage & Family Therapist
5249 E TERRACE DR
MADISON, WI 53718
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Physician Assistant (Medical)
5249 E TERRACE DR
MADISON, WI 53718
Counselor (Mental Health)
5249 E TERRACE DR
MADISON, WI 53718
Pharmacist
5249 E TERRACE DR
MADISON, WI 53718
Contractor
5249 E TERRACE DR
MADISON, WI 53718
Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Chiropractor
5249 E TERRACE DR
MADISON, WI 53718
Family Medicine
5249 E TERRACE DR
MADISON, WI 53718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801229547, enumerated as an "organization" on August 16, 2013.

The provider is located at 5249 E TERRACE DR MADISON, WI 53718 and the phone number is (608) 251-4156.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Group Health Cooperative-SCW. Please consult your insurance carrier or call the provider to verify.