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Organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Active
Organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Active
Other names
Children's Hospital of Wisconsin, Inc. - Fox Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC CADIEUX (CORPORATE VP AND CFO)
(414) 266-6226
Entity
Organization
Contact information
Practice address
130 SECOND ST, NEENAH, WI 54956
(920) 969-7900
(920) 969-7997
Mailing address
PO BOX 1997, MILWAUKEE, WI 53201-1997
(414) 266-2000
(414) 266-6409
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
1005
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11023400
—
WI
05
—
30-4642478
—
MI
05
—
40-4642487
—
MI
Enumeration date
10/04/2006
Last updated
03/29/2016
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