Provider Demographics
NPI:1083054555
Name:UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Entity Type:Organization
Organization Name:UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATEN-BAHENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-263-8025
Mailing Address - Street 1:600 HIGHLAND AVE # 6715
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:608-263-7535
Mailing Address - Fax:608-262-7284
Practice Address - Street 1:600 HIGHLAND AVE # 6715
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-263-7535
Practice Address - Fax:608-262-7284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health