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Organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Active
Organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA RICCA (VP REVENUE CYCLE)
(414) 266-2511
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-3518
(414) 266-2000
(414) 266-6409
Mailing address
PO BOX 1997, MILWAUKEE, WI 53201-1997
(414) 266-2000
(414) 266-6409
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
135
WI
231H00000X
Audiologist
—
—
282NC2000X
Children's Hospital
Primary
135
WI
291U00000X
Clinical Medical Laboratory
135
WI
332B00000X
Durable Medical Equipment & Medical Supplies
135
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095382
—
MS
05
—
00435179X
—
GA
05
—
01 86806201
—
KS
05
—
013436506
—
MO
05
—
01509640
—
NY
05
—
01700160
—
KY
05
—
0944108
—
IA
05
—
100037470A
—
IN
05
—
11019700
—
WI
05
—
11530400
—
FL
05
—
119026105
—
AR
05
—
30-4655055
—
MI
05
—
40-4655064
—
MI
05
—
6014253
—
OH
05
—
D0927520-00
—
MN
05
—
XHSP33461
—
CA
05
—
XHSP43461
—
CA
Enumeration date
09/26/2006
Last updated
07/29/2025
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