Provider Demographics
NPI:1346605177
Name:WHEATON ALERT-MILWAUKEE
Entity Type:Organization
Organization Name:WHEATON ALERT-MILWAUKEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP-HOME HLTH & HOSPICE-SE WI, SUB-A
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:POVLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-874-6161
Mailing Address - Street 1:4300 W BROWN DEER RD FL 2
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-2410
Mailing Address - Country:US
Mailing Address - Phone:414-874-6270
Mailing Address - Fax:
Practice Address - Street 1:4300 W BROWN DEER RD FL 2
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-2410
Practice Address - Country:US
Practice Address - Phone:414-874-6270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHEATON FRANCISCAN HOME HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-21
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No282N00000XHospitalsGeneral Acute Care Hospital