CHILDREN'S HOSPITAL OF WISCONSIN, INC.; NPI #1962507228

Contact Information

CHILDREN'S HOSPITAL OF WISCONSIN, INC.

6308 8TH AVE
SIXTH FLOOR
KENOSHA, WI 53143-5031

Phone: 262-656-2261
Fax: 262-653-5751
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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

NPI # 1962507228

LBN Legal business name CHILDREN'S HOSPITAL OF WISCONSIN, INC.

Authorized official WELDON GAGE - (CFO/TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/13/2006

Last updated 04/25/2013 - About 13 years ago

Identifiers

WI	License #	1003
WI	Medicaid	11023000

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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CHILDREN'S HOSPITAL OF WISCONSIN, INC.

Contact Information

Specialty

Children

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

Reviews for CHILDREN'S HOSPITAL OF WISCONSIN, INC.