Ascension Medical Group

LBN: Ascension Medical Group-Fox Valley Wisconsin, Inc
Ascension Medical Group is an health care organization with primary practice located at 1611 S Madison St , Appleton WI 54915. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Ascension Medical Group-Fox Valley Wisconsin, Inc can be contacted via phone (920) 738-2000, or through Fissel, J. Bryan via phone (414) 465-3000.

Contact Information

Primary practice address
1611 S Madison St Appleton WI 54915
Phone: (920) 738-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fissel, J. Bryan
Phone: (414) 465-3000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1730346214
LBN Legal business name Ascension Medical Group-Fox Valley Wisconsin, Inc
DBA Doing business as Ascension Medical Group
Authorized official Fissel, J. Bryan
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated Mar 27th, 2023 - about last year

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 1730346214 NPPES
Wisconsin MEDICAID 32752000

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