# ASCENSION SACRED HEART - ST MARY'S HOSPITALS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspirus Three Lakes Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881365286
- **Authorized official:** LORI PAIGE PECK (VP OF REVENUE CYCLE)
- **Authorized official phone:** (715) 748-2988

## Contact information

- **Practice address:** 6951 S MICHIGAN ST, THREE LAKES, WI 54562-9281
- **Practice address phone:** (715) 546-2543
- **Practice address fax:** (715) 546-8246
- **Mailing address:** 29980 NETWORK PL, CHICAGO, IL 60673-1299
- **Mailing address phone:** (715) 847-2304
- **Mailing address fax:** (715) 847-2125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2021
- **Last updated:** 09/24/2021