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Contact Information

ALEXIAN VILLAGE OF MILWAUKEE
9255 N 76TH ST
MILWAUKEE, WI53223-1058
 Phone: 414-355-9300
 Fax: 414-357-5106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for ALEXIAN VILLAGE OF MILWAUKEE

NPI Number 1144396300
LBN Legal business name ALEXIAN VILLAGE OF MILWAUKEE
Authorized official ERIN SHADBOLT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 11/04/2025 - About 7 months ago
Identifiers
WI Medicaid 20169500
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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