# WAUKESHA HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAUKESHA HEALTH SYSTEM INC
- **Other names:** Prohealth Care Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679954242
- **Legal business name:** WAUKESHA HEALTH SYSTEM INC
- **Authorized official:** MR. THOMAS JOHNSON (REIMBURSEMENT MANAGER)
- **Authorized official phone:** (262) 928-4704

## Contact information

- **Practice address:** 240 MAPLE AVE STE 1420, MUKWONAGO, WI 53149-8475
- **Practice address phone:** (262) 363-1900
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
- **Mailing address phone:** (952) 653-2525
- **Mailing address fax:** (952) 653-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2015
- **Last updated:** 12/14/2022
