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NPI Code Detail

MEDICARE: ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

MEDICARE: ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
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
1251E00000XHome Health Agency158WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457359614
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Provider Business Mailing Address
First Line : 2661 COUNTY HIGHWAY I
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-5407
Country : US
Telephone Number : 715-717-7200
Fax Number : 715-717-7204
Provider Business Practice Location Address
First Line : 2661 COUNTY HIGHWAY I
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-5407
Country : US
Telephone Number : 715-717-7485
Fax Number : 715-717-7630
Authorized Official
Title or Position : CFO
Name : PATRICIA LYNNE ALLEN
Credential :
Telephone Number : 920-884-5660
Provider Enumeration Date : 07/12/2005
Last Update Date : 06/29/2023

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54729-5407
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1366440521 — ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
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2661 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI
54729-5407
Practice Phone: 715-717-7485
Practice Fax: 715-717-7204

Directions to “ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F ” Practice Location

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