Froedtert South, Inc.

LBN: Froedtert South, Inc.
Froedtert South, Inc. is an health care organization with primary practice located at 9555 76Th St , Pleasant Prairie WI 53158-1984. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Froedtert South, Inc. can be contacted via phone (262) 577-8000, or through Kelley, Thomas J via phone (262) 577-8113.

Contact Information

Primary practice address
9555 76Th St Pleasant Prairie WI 53158-1984
Phone: (262) 577-8000
Fax: (262) 653-5852
Website:
Map and Directions
Authorized official contact:
Name: Kelley, Thomas J
Phone: (262) 577-8113

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 52-2335 Wisconsin
Hospitals / General Acute Care Hospital 282N00000X 52-0021 Wisconsin

Profile Details

NPI number 1003831132
LBN Legal business name Froedtert South, Inc.
DBA Doing business as
Authorized official Kelley, Thomas J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 22nd, 2022 - 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 1003831132 NPPES
Wisconsin MEDICAID 11007800

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