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SAINT ELIZABETHS HOSPITAL OF WABASHA INC

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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 Specialty Code Provider Type

Critical Access

 282NC0060X A0[7] Critical Access Hospital
 

Assisted Living Facility

 310400000X
 

Clinical Medical Laboratory

 291U00000X 69 Clinical Laboratory
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

 3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SAINT ELIZABETHS HOSPITAL OF WABASHA INC

NPI # 1659355600
LBN Legal business name SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Authorized official JOHN WOLFE - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2005
Last updated 03/16/2023 - About 3 years ago
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 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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