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General NPI Number Information
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NPI Number | 1487759817
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Entity Type | Organization
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Legal Business Name | WAUKESHA HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 252-928-7600
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Fax | 262-928-1947
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Provider Business Mailing Address
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Address Line | PO BOX 649
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City | WAUKESHA
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State | WI
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Zip | 53187-0649
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Country | US
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Telephone | 262-650-4122
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Fax | 262-544-0046
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Authorized Official
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Title or Position | CEO
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Name | SUSAN A EDWARDS
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Credential |
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Telephone | 262-928-2263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 6694042
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License Number State | WI
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