PULMONARY & CRITICAL CARE ASSOCIATES S C NPI 1104938331

NPI Information

  • NPI: 1104938331
  • Provider Name: PULMONARY & CRITICAL CARE ASSOCIATES S C
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 52D2138715
  • Address: 5900 S LAKE DR
    CUDAHY, WI
    ZIP 53110
  • Phone: (414) 744-4000

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NPI Details

PULMONARY & CRITICAL CARE ASSOCIATES S C is a medical specialty clinic center in Cudahy, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PULMONARY & CRITICAL CARE ASSOCIATES S C NPI is 1104938331. The provider is registered as an organization entity type.

The provider's business location address is:

5900 S LAKE DR
CUDAHY, WI
ZIP 53110-171
Phone: (414) 744-4000
Fax: (414) 489-4022

The provider's authorized official is Angela Theresa Walter .
The authorized official title is Office Manager and has the following contact phone number (414) 744-4000.

The CLIA number assigned to this NPI record is 52D2138715 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 2/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

NPI Synchronization or Removal

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