Healthcare Provider Details

I. General information

NPI: 1164429908
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: 07/07/2005
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
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: 715-717-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN WAGNER
Title or Position: CEO
Credential:
Phone: 715-717-7730