# ST MARY'S HOSPITAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST MARY'S HOSPITAL MEDICAL CENTER
- **Other names:** St Mary's Sun Prairie Emergency Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790071637
- **Legal business name:** ST MARY'S HOSPITAL MEDICAL CENTER
- **Authorized official:** BOB FALSEY (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (952) 653-2525

## Contact information

- **Practice address:** 2840 OKEEFFE AVE, SUN PRAIRIE, WI 53590-7077
- **Practice address phone:** (608) 229-8484
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
- **Mailing address phone:** (952) 653-2525

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2011
- **Last updated:** 06/20/2011
