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Contact Information

WATERTOWN REGIONAL MEDICAL CENTER, INC
125 HOSPITAL DR
WATERTOWN, WI53098-3303
 Phone: 920-262-4784
 Fax: 920-206-8488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for WATERTOWN REGIONAL MEDICAL CENTER, INC

NPI # 1720267792
LBN Legal business name WATERTOWN REGIONAL MEDICAL CENTER, INC
Authorized official ROBERT KLUGE - (DIRECTOR PATIENT ACCOUNTING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/26/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
WI Medicaid 11015400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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