Organization
ST. CAMILLUS HEALTH CENTER, INC.
Active
Other names
St. Camillus Home Health, St. Camillus Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
ANN ONDREJICKA BSW (ADMINISTRATOR)
(414) 258-2418
Entity
Organization
Contact information
Practice address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4861
(414) 258-2418
(414) 259-4534
Mailing address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4861
(414) 258-2418
(414) 259-4534
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521588
MEDICARE PROVIDER NUMBER
WI
Enumeration date
08/29/2008
Last updated
12/05/2023
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