Organization
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.
Active
Other names
Ascension Seton Dental Clinic, Ascension Columbia St Mary's Hospital Milwaukee Campus, Ascension Columbia St Mary's Hospital Ozaukee Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1000
Mailing address
PO BOX 773380, CHICAGO, IL 60677-3380
(414) 585-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
53
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100197969
—
WI
05
—
11010300
—
WI
05
—
21294400
—
WI
05
—
21295200
—
WI
05
—
36200500
—
WI
05
—
38396200
—
WI
05
—
41223700
—
WI
Enumeration date
12/18/2006
Last updated
12/31/2024
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