Ssm Health Waupun Memorial Hospital

LBN: Waupun Memorial Hospital
Ssm Health Waupun Memorial Hospital is an health care organization with primary practice located at 620 W Brown St , Waupun WI 53963-1702. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Waupun Memorial Hospital can be contacted via phone (920) 324-5581, or through Schmitz, Bonnie R via phone (920) 926-4480.

Contact Information

Primary practice address
620 W Brown St Waupun WI 53963-1702
Fax: (920) 926-8885
Website:
Authorized official contact:
Name: Schmitz, Bonnie R

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1548248644
LBN Legal business name Waupun Memorial Hospital
DBA Doing business as Ssm Health Waupun Memorial Hospital
Authorized official Schmitz, Bonnie R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Mar 12th, 2022 - 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 1548248644 NPPES
Wisconsin Other Z3 DEAN CARE
Wisconsin MEDICAID 11008100 DEAN CARE
Wisconsin MEDICAID 11008110 DEAN CARE
Wisconsin Other 101160 DEAN CARE

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