St. Camillus Health Center, Inc.

LBN: St. Camillus Health Center, Inc.
St. Camillus Health Center, Inc. is an health care organization with primary practice located at 10101 W Wisconsin Ave , Wauwatosa WI 53226-4814. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. St. Camillus Health Center, Inc. can be contacted via phone (414) 258-1814, or through Johnson, Rick Lee via phone (414) 258-1814.

Contact Information

Primary practice address
10101 W Wisconsin Ave Wauwatosa WI 53226-4814
Phone: (414) 258-1814
Fax: (414) 259-7999
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Rick Lee
Phone: (414) 258-1814

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3074 Wisconsin

Profile Details

NPI number 1609937788
LBN Legal business name St. Camillus Health Center, Inc.
DBA Doing business as
Authorized official Johnson, Rick Lee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1609937788 NPPES
Wisconsin MEDICAID 20125300

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