Ascension Columbia St Mary'S Hospital Milwaukee

LBN: Csm Community Physician
Ascension Columbia St Mary'S Hospital Milwaukee is an health care organization with primary practice located at 13133 N Port Washington Rd Suite 122, Mequon WI 53097-2419. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Csm Community Physician can be contacted via phone (414) 298-7280, or through Hanselman, Matthew via phone (414) 465-3000.

Contact Information

Primary practice address
13133 N Port Washington Rd Suite 122 Mequon WI 53097-2419
Phone: (414) 298-7280
Fax: (414) 298-7281
Website:
Map and Directions
Authorized official contact:
Name: Hanselman, Matthew
Phone: (414) 465-3000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1518271956
LBN Legal business name Csm Community Physician
DBA Doing business as Ascension Columbia St Mary'S Hospital Milwaukee
Authorized official Hanselman, Matthew
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2010
Last updated Sep 29th, 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 1518271956 NPPES
Wisconsin MEDICAID 32793800

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