Provider Demographics
NPI:1336482504
Name:WESTFIELDS HOSPITAL INC
Entity Type:Organization
Organization Name:WESTFIELDS HOSPITAL INC
Other - Org Name:WESTFIELDS COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/CNO
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SATHRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-243-2855
Mailing Address - Street 1:WESTFIELDS HOSPITAL
Mailing Address - Street 2:PO BOX 856981
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55485-6981
Mailing Address - Country:US
Mailing Address - Phone:952-967-6066
Mailing Address - Fax:952-967-6667
Practice Address - Street 1:535 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017-1449
Practice Address - Country:US
Practice Address - Phone:715-243-2970
Practice Address - Fax:715-243-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
WI9177-423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2138143OtherPK
WI1336482504Medicaid
WI1336482504Medicaid