| Organization Name: | UNITED HOSPITAL SYSTEM, INC. |
| NPI Number: | 1003831132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS J KELLEY (VP & CFO) |
| Mailing Address: | 6308 8th Ave Kenosha |
| State: | WI US |
| Postal Code: | 531435031 |
| Phone Number: | 2626562011 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 52-2335 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |