Provider Demographics
NPI:1073798625
Name:WHEATON FRANCISCAN HEALTHCARE
Entity Type:Organization
Organization Name:WHEATON FRANCISCAN HEALTHCARE
Other - Org Name:ST. JOSEPH HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT, ST. JOSEPH HOSPITAL
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GROEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-447-2823
Mailing Address - Street 1:PO BOX 689510
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53268-9510
Mailing Address - Country:US
Mailing Address - Phone:414-456-3000
Mailing Address - Fax:
Practice Address - Street 1:10400 W NORTH AVE
Practice Address - Street 2:SUITE 495
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2425
Practice Address - Country:US
Practice Address - Phone:414-777-3178
Practice Address - Fax:414-777-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital