Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin

LBN: Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin is an health care organization with primary practice located at 112 E 5Th Ave , Antigo WI 54409-2710. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Rehabilitation, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin can be contacted via phone (715) 623-2331, or through Yang, Jerry M via phone (715) 847-2526.

Contact Information

Primary practice address
112 E 5Th Ave Antigo WI 54409-2710
Phone: (715) 623-2331
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yang, Jerry M
Phone: (715) 847-2526

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Hospitals / Critical Access 282NC0060X 1055 Wisconsin

Profile Details

NPI number 1639187412
LBN Legal business name Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
DBA Doing business as
Authorized official Yang, Jerry M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 13th, 2024 - 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 1639187412 NPPES
Wisconsin MEDICAID 11018110
Wisconsin MEDICAID 32765700
Wisconsin MEDICAID 11018100
Wisconsin MEDICAID 41230700

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