Organization
ASCENSION CALUMET HOSPITAL, INC
Active
Other names
ASCENSION CALUMET HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
614 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-2386
(920) 849-1801
Mailing address
614 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-2386
(920) 849-1801
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11015300
—
WI
Enumeration date
07/11/2005
Last updated
12/30/2024
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