Organization
ST.MICHAEL HOSPITAL
Active
Other names
Covenent Health system, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON W SOHN (VP FINANCIAL OPERATIONS)
(414) 465-3090
Entity
Organization
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8000
Mailing address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
54
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11009400
—
WI
Enumeration date
02/23/2006
Last updated
01/11/2010
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