Organization
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Active
Other names
Gundersen St. Elizabeth's Hospital and Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K WOLFE (CFO)
(651) 565-5553
Entity
Organization
Contact information
Practice address
1200 GRANT BLVD W, WABASHA, MN 55981-1098
(651) 565-4531
(651) 565-2482
Mailing address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-4531
(651) 565-2482
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
310400000X
Assisted Living Facility
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
2005427
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01007855
PREFERRED ONE HOSPITAL
—
05
—
11004000
—
WI
01
—
1895HEL
BCBS FACILITY CHARGES
MN
01
—
2408931
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
300302
UCARE FOR HOSPITAL
MN
05
—
32781400
—
WI
05
—
32949000
—
WI
05
—
33160300
—
WI
01
—
36181TE
BCBS PROFESSIONAL FEES
MN
05
—
394347000
—
MN
01
—
3990
HEALTH PARTNERS
MN
01
—
5000168
MEDICA
—
01
—
60212EL
BCBS CRNA CHARGES
MN
Enumeration date
12/02/2005
Last updated
03/16/2023
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