1316601487 NPI number — ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC.

Table of content: VIRGINIA JS ADAMS CRNA (NPI 1619376837)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316601487 NPI number — ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC.
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:
Provider Other Organization Name Type Code:
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:
1316601487
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29980 NETWORK PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60673-1299
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
715-847-2304
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1120 PINE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STANLEY
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54768-1297
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-355-9573
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2021

Additional Information

Authorized Official

Authorized Official Last Name:
SCZYGELSKI
Authorized Official First Name:
SIDNEY
Authorized Official Middle Name:
CHARLES
Authorized Official Title or Position:
VPF
Authorized Official Telephone Number:
715-847-2250

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com