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CHILDREN'S HOSPITAL OF WISCONSIN INC. NPI 1962507228


NPI Information

NPI: 1962507228
Provider Name: CHILDREN'S HOSPITAL OF WISCONSIN, INC.

Doing Business As: CHILDREN'S HOSPITAL OF WISCONSIN, INC. - KENOSHA

Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

Address:
6308 8TH AVE
SIXTH FLOOR
KENOSHA, WI
ZIP 53143
Phone: (262) 656-2261
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CHILDREN'S HOSPITAL OF WISCONSIN, INC. is a children general acute care hospital in Kenosha, WI. CHILDREN'S HOSPITAL OF WISCONSIN, INC. NPI is 1962507228. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Hospital Of Wisconsin, Inc. - Kenosha.

The provider's business location address is:

6308 8TH AVE
SIXTH FLOOR
KENOSHA, WI
ZIP 53143-031
Phone: (262) 656-2261
Fax: (262) 653-5751

The provider's authorized official is Weldon W Gage .
The authorized official title is Cfo/treasurer and has the following contact phone number (414) 266-6401.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 4/25/2013.


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
1282NC2000XGeneral Acute Care HospitalChildren1003WISCONSINYes

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
111023000MEDICAIDWISCONSIN
2523301MEDICARE ID-TYPE UNSPECIFIED

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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