Organization Name: | SACRED HEART-ST MARYS HOSPITALS INC |
NPI Number: | 1699068692 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA ANDERSON (HOSPITAL PRESIDENT) |
Mailing Address: | 400 W Glen St Crandon |
State: | WI US |
Postal Code: | 545201355 |
Phone Number: | 7154783318 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 03/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |