National Provider Identifier Database

CHILDRENS HOSPITAL OF WISCONSIN INC
Children

Contact Information

CHILDREN'S HOSPITAL OF WISCONSIN, INC.
9000 W WISCONSIN AVE
MILWAUKEE, WI  53226-3518
Phone: 414-266-2000
Fax: 414-266-6409
Website:
Specialty Taxonomy Code
* Children 282NC2000X
Audiologist 231H00000X
Clinical Medical Laboratory 291U00000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pediatric Dentistry 1223P0221X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S HOSPITAL OF WISCONSIN, INC.

NPI Number 1750482022
Legal business name
LBN		 CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Authorized official MONICA RICCA - (VP REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 09/26/2006
Last updated 07/29/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 135
  • AR Medicaid: 119026105
  • CA Medicaid: XHSP33461
  • CA Medicaid: XHSP43461
  • FL Medicaid: 11530400
  • GA Medicaid: 00435179X
  • IA Medicaid: 0944108
  • IN Medicaid: 100037470A
  • KS Medicaid: 01 86806201
  • KY Medicaid: 01700160
  • MI Medicaid: 30-4655055
  • MI Medicaid: 40-4655064
  • MN Medicaid: D0927520-00
  • MO Medicaid: 013436506
  • MS Medicaid: 00095382
  • NY Medicaid: 01509640
  • OH Medicaid: 6014253
  • WI Medicaid: 11019700

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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