Organization
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.
Active
Other names
Ascension Columbia St Mary's Hospital Ozaukee
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HANSELMAN (CFO)
(414) 465-3000
Entity
Organization
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7300
(262) 243-7416
Mailing address
PO BOX 860496, MINNEAPOLIS, MN 55486-0496
(262) 243-7300
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
246
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11008300
—
WI
05
—
11008326
—
WI
05
—
36200600
—
WI
05
—
41223800
—
WI
05
—
42235300
—
WI
05
—
42235326
—
WI
Enumeration date
12/18/2006
Last updated
11/22/2021
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