Organization
ASCENSION NE WISCONSIN, INC
Active
Other names
ASCENSION NE WISCONSIN-MERCY CAMPUS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904
(920) 720-1464
(920) 720-1728
Mailing address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 720-1464
(920) 720-1728
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52T009
PART A PTAN
WI
Enumeration date
07/31/2006
Last updated
12/30/2024
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