ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE – NPI #1376582775
Clinic/Center

ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE is an AHC clinic located in MEQUON, WI. NPPES has assigned the NPI number 1376582775 to ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE on June 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE” is a dba name, the actual legal business name for this organization is COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 5 years ago on Nov 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE below.

NPI Profile for
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.

NPI Number
1376582775
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.
Doing Business As (dba): ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE
Primary location
13111 N PORT WASHINGTON RD
MEQUON, WI 53097-2416
Phone: (262) 243-7300 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW HANSELMAN
CFO
Phone: (414) 465-3000
Updated
Certification Date
Nov 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDWI21262500, 21268700
MEDICAIDWI21262700, 21262400
MEDICAIDWI32757400, 21262600
MEDICAIDWI38997300, 21273300
MEDICAIDWI21279900
MEDICAIDWI32869300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.