ASCENSION ST. CLARE'S HOSPITAL, INC. (NPI# 1265966105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265966105 |
Entity Type | Organization |
Organization Name | ASCENSION ST. CLARE'S HOSPITAL, INC. |
Other Organization Name | ASCENSION WISCONSIN SPIRIT MEDICAL TRANSPORT |
Practice Address |
3400 Ministry Pkwy Weston WI 54476-5220 |
Practice Telephone | 7153933000 |
Mailing Telephone | 7153933000 |
Enumeration Date | 2017-04-18 |
Last Update Date | 2019-08-28 |
Authorized Official Name | JONATHAN W SOHN (CFO) |
Authorized Official Telephone | 4144653000 |
Is Organization Subpart | Y |
Parent Organization Name | ASCENSION ST. CLARE'S HOSPITAL, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6001347 | WI | Transportation Services |
Other Name | Type Code |
---|---|
ASCENSION WISCONSIN SPIRIT MEDICAL TRANSPORT | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154855096 | Ascension St. Clare's Hospital, Inc. | Ambulance | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2017-04-18 |
Street Address |
3400 MINISTRY PKWY |
City | WESTON |
State | WI |
Zip Code | 54476-5220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730175480 | Nicolaus Adolf Schermer | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2005-09-27 |
1952908808 | Marshfield Clinic, Inc. | Non-Pharmacy Dispensing Site | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-10-05 |
1801407630 | Mchs Hospitals, Inc. | Durable Medical Equipment & Medical Supplies | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-08-14 |
1902437650 | Mchs Hospitals, Inc. | General Acute Care Hospital | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-01-31 |
1326691254 | Jackie Marie Rietz | Nurse Practitioner | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2019-07-19 |
1295299394 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2019-01-23 |
1124503677 | Daniel Carl Peterson | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-10-01 |
1730669763 | Becky Schmidt | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-08-20 |
1154812303 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-05-23 |
1235645193 | Erin Taylor | Nurse Practitioner | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2017-12-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
Find all providers in zip 54476 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.