Ascension All Saints Hospital, Inc
Organization Active NPI Community/Retail Pharmacy · Mount Pleasant, WI
NPI 1164522132 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1164522132
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 848642 (WI)
- Legal business name
- ASCENSION ALL SAINTS HOSPITAL, INC
- Practice address
- 3807 Spring St
Mount Pleasant, WI 53405-1667 - Phone
- (262) 687-8430
- Fax
- (262) 687-8788
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Kristopher Cyr
- Title
- Director
- Phone
- (262) 687-2151
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 6
Practitioners 14
-
Deborah Lynn Cohen-Smith, PH.D.
-
Michael Derose, LCSW
-
David Galbis-Reig, M.D.
-
Shamin Catherine Jaffer Ladhani, PSY.D.
-
Kathleen Fenno McNulty, L.C.S.W.
-
Elisabeth A Steadman, LCSW
-
Nancy Schell, MD
-
Richard R. Clark, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190820002492 | WI | Part B Supplier - Pharmacy | 4880504935 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mount Pleasant, WI; Racine, WI |
National Provider Directory
- Tax ID family
- James F Tierney MD
Locations
152 E State St
Burlington, WI 53105
Phone (262) 687-6286
3901 Highway 31
Caledonia, WI 53405
Phone (262) 260-3579
2408 4 Mile Rd
Caledonia, WI 53402
Phone (262) 687-5995
10117 74th St
Kenosha, WI 53142
Phone (262) 697-8268
10117 74th St
Ste 100
Kenosha, WI 53142
Phone (262) 656-8237
3805 Spring St
Ste B
Mount Pleasant, WI 53405
Phone (262) 687-2222
3805 Spring St
Ste A
Mount Pleasant, WI 53405
Phone (262) 687-8115
9301 Washington Ave
Racine, WI 53406
Phone (262) 687-8611
1244 Wisconsin Ave
Ste 102
Racine, WI 53403
Phone (262) 687-2150
8700 Durand Ave
Sturtevant, WI 53177
Phone (262) 687-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 848642 | WI | Yes |
Addresses
Primary practice location
3807 Spring St
Mount Pleasant, WI 53405-1667
Mailing address
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108755 | Other | PK | |
| 33224800 | Medicaid | WI |
Other names
- Ascension Rx 1101
Other providers in Mount Pleasant, WI
- Michelle Antosiewicz
- Jyron Aparri
- Kimberly Lynn Arbinger
- Heinery Arevalo
- Eric Arvizu Calzada
- Ascension All Saints Hospital, Inc
- Ascension Wisconsin Pharmacy, Inc
- Ascension Wisconsin Surgery Center-Mount Pleasant LLC
- Kelly Anne Aschenbrenner
- Brooke Ashley Ash
All providers in Mount Pleasant, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.