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SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE INC. NPI 1992079891


NPI Information

NPI: 1992079891
Provider Name: SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
13105 WATERTOWN PLANK RD
ELM GROVE, WI
ZIP 53122
Phone: (262) 782-9850
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SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC. is a non pharmacy dispensing site in Elm Grove, WI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC. NPI is 1992079891. The provider is registered as an organization entity type.

The provider's business location address is:

13105 WATERTOWN PLANK RD
ELM GROVE, WI
ZIP 53122-213
Phone: (262) 782-9850
Fax: (262) 784-9788

The provider's authorized official is Dana Russart .
The authorized official title is Cfo and has the following contact phone number (262) 782-9850.

The enumeration date for this NPI number is 2/24/2012 and was last updated on 9/25/2012.


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
1332900000XNon-Pharmacy Dispensing SiteWISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000086727MEDICARE UPINWISCONSIN

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: 5/5/2024

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