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NPI Code Detail

MEDICARE: ASCENSION ALL SAINTS HOSPITAL, INC

MEDICARE: ASCENSION ALL SAINTS HOSPITAL, INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy848642WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12108755OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164522132
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENSION ALL SAINTS HOSPITAL, INC
Provider Business Mailing Address
First Line : 3807 SPRING ST
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53405-1667
Country : US
Telephone Number : 262-687-8430
Fax Number : 262-687-8788
Provider Business Practice Location Address
First Line : 3807 SPRING ST
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53405-1667
Country : US
Telephone Number : 262-687-8430
Fax Number : 262-687-8788
Authorized Official
Title or Position : DIRECTOR
Name : KRISTOPHER CYR
Credential :
Telephone Number : 262-687-2151
Provider Enumeration Date : 09/22/2006
Last Update Date : 12/18/2024

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Directions to “ASCENSION ALL SAINTS HOSPITAL, INC ” Practice Location

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