MEDICARE: UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335U00000X	Organ Procurement Organization

General Provider Information

NPI Number	:	1730324955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Provider Business Mailing Address
First Line	:	600 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-0001
Country	:	US
Telephone Number	:	608-265-0356
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 SCIENCE DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-1169
Country	:	US
Telephone Number	:	608-265-0356
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ALAN KAPLAN
Credential	:	MD
Telephone Number	:	608-263-7013

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	03/21/2020

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