Ascension Rx 1102

LBN: Ascension All Saints Hospital, Inc
Ascension Rx 1102 is an health care organization with primary practice located at 3811 Spring St , Mount Pleasant WI 53405-1667. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ascension All Saints Hospital, Inc can be contacted via phone (262) 687-1600, or through Hanselman, Matthew via phone (414) 465-3000.

Contact Information

Primary practice address
3811 Spring St Mount Pleasant WI 53405-1667
Phone: (262) 687-1600
Fax: (262) 687-1605
Website:
Map and Directions
Authorized official contact:
Name: Hanselman, Matthew
Phone: (414) 465-3000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 848842 Wisconsin

Profile Details

NPI number 1366535585
LBN Legal business name Ascension All Saints Hospital, Inc
DBA Doing business as Ascension Rx 1102
Authorized official Hanselman, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Sep 30th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366535585 NPPES
Other 2112083 PK
MEDICAID 33214200 PK

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