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 |
| NPI Number | 1750482022 |
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| 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 |
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