Children'S Hospital Of Wisconsin, Inc. - Kenosha

LBN: Children'S Hospital Of Wisconsin, Inc.
Children'S Hospital Of Wisconsin, Inc. - Kenosha is an health care organization with primary practice located at 6308 8Th Ave Sixth Floor, Kenosha WI 53143-5031. The organization recently has only one registered license in Hospitals / Children, which is considered as the primary health care specialty. Children'S Hospital Of Wisconsin, Inc. can be contacted via phone (262) 656-2261, or through Gage, Weldon W via phone (414) 266-6401.

Contact Information

Primary practice address
6308 8Th Ave Sixth Floor Kenosha WI 53143-5031
Phone: (262) 656-2261
Fax: (262) 653-5751
Website:
Map and Directions
Authorized official contact:
Name: Gage, Weldon W
Phone: (414) 266-6401

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 282NC2000X 1003 Wisconsin

Profile Details

NPI number 1962507228
LBN Legal business name Children'S Hospital Of Wisconsin, Inc.
DBA Doing business as Children'S Hospital Of Wisconsin, Inc. - Kenosha
Authorized official Gage, Weldon W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Apr 25th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962507228 NPPES
Wisconsin MEDICAID 11023000

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