National Provider Identifier Database

SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Critical Access

Contact Information

SAINT ELIZABETHS HOSPITAL OF WABASHA INC
1200 GRANT BLVD W
WABASHA, MN  55981-1098
Phone: 651-565-4531
Fax: 651-565-2482
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Assisted Living Facility 310400000X
Clinical Medical Laboratory 291U00000X
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for SAINT ELIZABETHS HOSPITAL OF WABASHA INC

NPI Number 1659355600
Legal business name
LBN		 SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Authorized official JOHN WOLFE - (CFO)
Entity Organization
Organization subpart No
Enumeration date 12/02/2005
Last updated 03/16/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 2005427
  • MN Medicaid: 394347000
  • WI Medicaid: 11004000
  • WI Medicaid: 32781400
  • WI Medicaid: 32949000
  • WI Medicaid: 33160300
  • Other: 5000168 MEDICA
  • Other: 2408931 NCPDP PROVIDER IDENTIFICATION NUMBER
  • Other: 01007855 PREFERRED ONE HOSPITAL
  • MN Other: 60212EL BCBS CRNA CHARGES
  • MN Other: 1895HEL BCBS FACILITY CHARGES
  • MN Other: 36181TE BCBS PROFESSIONAL FEES
  • MN Other: 3990 HEALTH PARTNERS
  • MN Other: 300302 UCARE FOR HOSPITAL

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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