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
Mailing address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7300
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21262500, 21268700
—
WI
05
—
21262700, 21262400
—
WI
05
—
21279900
—
WI
05
—
32757400, 21262600
—
WI
05
—
32869300
—
WI
05
—
38997300, 21273300
—
WI
Enumeration date
06/05/2006
Last updated
11/23/2021
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