Healthcare Provider Details

I. General information

NPI: 1235163940
Provider Name (Legal Business Name): SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W CLAIREMONT AVE
EAU CLAIRE WI
54701-6122
US

IV. Provider business mailing address

900 W CLAIREMONT AVE
EAU CLAIRE WI
54701-6122
US

V. Phone/Fax

Practice location:
  • Phone: 715-717-4121
  • Fax: 715-717-6076
Mailing address:
  • Phone: 715-717-4121
  • Fax: 715-717-6076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number17
License Number StateWI

VIII. Authorized Official

Name: MR. ANDREW J BARTH
Title or Position: CEO
Credential:
Phone: 715-717-4220