Provider Demographics
NPI:1790808269
Name:UNIVERSITY HEALTH AND COUNSELING SERVICES
Entity Type:Organization
Organization Name:UNIVERSITY HEALTH AND COUNSELING SERVICES
Other - Org Name:UNIVERSITY OF WISCONSIN - WHITEWATER
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:262-472-1300
Mailing Address - Street 1:800 W MAIN ST
Mailing Address - Street 2:UW-WHITEWATER
Mailing Address - City:WHITEWATER
Mailing Address - State:WI
Mailing Address - Zip Code:53190-1705
Mailing Address - Country:US
Mailing Address - Phone:262-472-1300
Mailing Address - Fax:262-472-5608
Practice Address - Street 1:800 W MAIN ST
Practice Address - Street 2:UW-WHITEWATER
Practice Address - City:WHITEWATER
Practice Address - State:WI
Practice Address - Zip Code:53190-1705
Practice Address - Country:US
Practice Address - Phone:262-472-1300
Practice Address - Fax:262-472-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2561033261QS1000X
WI85167030261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI2561033OtherAPNP
WI85167030OtherR.N.
WIMB1198073OtherDEA