Organization
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Active
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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