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WAUKESHA HEALTH SYSTEM INC. NPI 1346353695


NPI Information

NPI: 1346353695
Provider Name: WAUKESHA HEALTH SYSTEM, INC.

Doing Business As: BEHAVIORAL MEDICINE CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
721 AMERICAN AVE
SUITE 501
WAUKESHA, WI
ZIP 53188
Phone: (262) 928-2396
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WAUKESHA HEALTH SYSTEM, INC. is a clinic center in Waukesha, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WAUKESHA HEALTH SYSTEM, INC. NPI is 1346353695. The provider is registered as an organization entity type.
The provider Is Doing Business As Behavioral Medicine Center.

The provider's business location address is:

721 AMERICAN AVE
SUITE 501
WAUKESHA, WI
ZIP 53188-071
Phone: (262) 928-2396
Fax: (262) 544-1213

The provider's authorized official is Frederick L Syrjanen .
The authorized official title is Executive Director and has the following contact phone number (252) 928-2382.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 12/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center1976WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142125500MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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