Ihc-St. Nicholas Emergency Physicians, Llc

LBN: Ihc-St. Nicholas Emergency Physicians, Llc
Ihc-St. Nicholas Emergency Physicians, Llc is an health care organization with primary practice located at 3100 Superior Ave , Sheboygan WI 53081-1948. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Ihc-St. Nicholas Emergency Physicians, Llc can be contacted via phone (414) 290-6718, or through Vaughn, Karen via phone (973) 251-1132.

Contact Information

Primary practice address
3100 Superior Ave Sheboygan WI 53081-1948
Phone: (414) 290-6718
Fax: (414) 290-6755
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Karen
Phone: (973) 251-1132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1245288836
LBN Legal business name Ihc-St. Nicholas Emergency Physicians, Llc
DBA Doing business as
Authorized official Vaughn, Karen
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Mar 30th, 2023 - about 2 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 1245288836 NPPES
Wisconsin Other 125362001 OWCP
Wisconsin Other 130007874 OWCP
Wisconsin Other 020447000 OWCP
Wisconsin MEDICAID 21267500 OWCP
Wisconsin Other DA1626 OWCP

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