Organization
MARY JUDE HEALTH CARE, INC.
Active
Other names
Mary Jude Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRISBY (ADMINISTRATOR)
(414) 543-5330
Entity
Organization
Contact information
Practice address
9806 W LINCOLN AVE, WEST ALLIS, WI 53227-2234
(414) 543-5330
Mailing address
9806 W LINCOLN AVE, WEST ALLIS, WI 53227-2234
(414) 543-5330
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2962
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20163400
—
WI
Enumeration date
05/23/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us