Healthcare Provider Details

I. General information

NPI: 1871235168
Provider Name (Legal Business Name): ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2661 COUNTY HIGHWAY I
CHIPPEWA FALLS WI
54729-5407
US

IV. Provider business mailing address

2661 COUNTY HIGHWAY I
CHIPPEWA FALLS WI
54729-5407
US

V. Phone/Fax

Practice location:
  • Phone: 715-723-1811
  • Fax:
Mailing address:
  • Phone: 715-723-1811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA LYNNE ALLEN
Title or Position: CFO
Credential:
Phone: 920-884-5660