Organization
ASPIRUS WAUSAU HOSPITAL, INC
Active
Parent organization
ASPIRUS WAUSAU HOSPITAL, INC
Other names
Aspirus Wausau Hospital Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPIRUS WAUSAU HOSPITAL, INC
Authorized official
MR. JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2121
(715) 847-2286
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
(715) 847-2121
(715) 847-2286
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11008500
—
WI
01
—
3053
SECURITY HEALTH PLAN
WI
01
—
39113824B
WPS
WI
Enumeration date
10/03/2006
Last updated
06/11/2024
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