Provider Demographics
NPI:1063018927
Name:ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLC
Entity Type:Organization
Organization Name:ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLC
Other - Org Name:ASCENSION WISCONSIN HOSPITAL - MENOMONEE FALLS CAMPUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMERBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-423-3927
Mailing Address - Street 1:8686 NEW TRAILS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1195
Mailing Address - Country:US
Mailing Address - Phone:281-292-2450
Mailing Address - Fax:281-298-5311
Practice Address - Street 1:N88 W14275 MAIN STREET
Practice Address - Street 2:STE 100
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53501
Practice Address - Country:US
Practice Address - Phone:713-637-1146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital