Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
UW HEALTH PARTNERS WATERTOWN REGIONAL MEDICAL CENTER HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER, INC
Authorized official
MR. ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING)
(920) 262-4784
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-4210
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
165
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020802
PHY PLUS
WI
05
—
41514400
—
WI
01
—
A9
DEAN CARE PROVIDER #
WI
Enumeration date
06/01/2005
Last updated
09/29/2011
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