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Contact Information

CHILDREN'S HOSPITAL OF WISCONSIN, INC.
9000 W WISCONSIN AVE
MILWAUKEE, WI53226-3518
 Phone: 414-266-2000
 Fax: 414-266-6409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
 

Audiologist

231H00000X 64 Audiologist
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

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

NPI Number 1750482022
LBN Legal business name CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Authorized official MONICA RICCA - (VP REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 07/29/2025 - About 10 months ago
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 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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