| Ascension Columbia St Mary's Hospital Ozaukee | |
|
13111 N Port Washington Rd Mequon WI 53097-2416 | |
| (262) 243-7300 | |
| Not Available |
| Full Name | Ascension Columbia St Mary's Hospital Ozaukee |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 13111 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Matthew Hanselman (CFO) |
| Authorized Official Contact | 4144653000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Columbia St Mary's Hospital Ozaukee Po Box 860496 Minneapolis MN 55486-0496 Ph: (262) 243-7300 | Ascension Columbia St Mary's Hospital Ozaukee 13111 N Port Washington Rd Mequon WI 53097-2416 Ph: (262) 243-7300 |
| NPI Number | 1184786329 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184786329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 273R00000X | Psychiatric Unit | 246 (Wisconsin) | Primary |
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› Verified 3 days ago
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