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Organization

ASPIRUS STANLEY HOSPITAL & CLINICS, INC

Active
Other names
Ascension Our Lady of Victory Hospital, Aspirus Stanley Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization

Contact information

Practice address
1120 PINE ST, STANLEY, WI 54768-1297
(715) 644-5571
(715) 644-6221
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52D0396895
CLIA ID NUMBER
Enumeration date
02/15/2006
Last updated
06/11/2024
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