Organization
WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL, INC.
Active
Other names
Elmbrook Memorial Hospital, Inc/
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA K STANDRIDGE (PRESIDENT)
(262) 785-2000
Entity
Organization
Contact information
Practice address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-2000
Mailing address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
183
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11019400
—
WI
01
—
5000019
UNITED HEALTHCARE PROVIDE
WI
Enumeration date
05/08/2006
Last updated
09/24/2010
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