Froedtert Memorial Lutheran Hospital, Inc.

LBN: Froedtert Memorial Lutheran Hospital, Inc.
Froedtert Memorial Lutheran Hospital, Inc. is an health care organization with primary practice located at 9200 W Wisconsin Ave Ste 200C, Milwaukee WI 53226-3522. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Froedtert Memorial Lutheran Hospital, Inc. can be contacted via phone (414) 805-0977, or through Perhach, Kevin via phone (414) 805-6531.

Contact Information

Primary practice address
9200 W Wisconsin Ave Ste 200C Milwaukee WI 53226-3522
Phone: (414) 805-0977
Fax: (414) 805-0980
Website:
Map and Directions
Authorized official contact:
Name: Perhach, Kevin
Phone: (414) 805-6531

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 8837-42 Wisconsin
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1154597292
LBN Legal business name Froedtert Memorial Lutheran Hospital, Inc.
DBA Doing business as
Authorized official Perhach, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated Jan 30th, 2020 - about 4 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 1154597292 NPPES
Wisconsin MEDICAID 36226900
Wisconsin Other 2111105

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