1548685316 NPI number — UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Table of content: (NPI 1548685316)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548685316 NPI number — UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UW HEALTH PHARMACY SERVICES
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548685316
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 HIGHLAND AVE
Provider Second Line Business Mailing Address:
PHARMACY F6/133
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53792-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-203-1290
Provider Business Mailing Address Fax Number:
608-263-9424

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1102 S PARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53715-1708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-890-6431
Provider Business Practice Location Address Fax Number:
608-203-4894
Provider Enumeration Date:
03/03/2014

Additional Information

Authorized Official

Authorized Official Last Name:
KAPLAN
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
608-828-1811

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  9239-42 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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