Active NPI
Wheaton Franciscan Healthcare-All Saints, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Racine, WI
National Provider Identifier
1265447098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INC.
- Practice address
- 1139 Warwick Way
Racine, WI 53406-5661 - Phone
- (262) 687-7550
- NPI assigned
- Jul 30, 2006
- Organization subpart
- Yes
- Parent organization
- WHEATON FRANCUSCAN HEALTHCARE-ALL SAINTS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Boland
- Title
- President/Ceo
- Phone
- (262) 687-4886
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | WI | Primary | |
| General Acute Care Hospital | 282N00000X | WI |
Addresses
Primary practice location
1139 Warwick Way
Racine, WI 53406-5661
Mailing address
1139 Warwick Way
Racine, WI 53406-5661
Phone (262) 687-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42061100 | Medicaid | WI |
Other names 1
- Dialysis West
National Provider Directory
National Provider Directory- Part of
- James F Tierney MD
Locations
1139 Warwick Way
Racine, WI 53406
Phone (262) 687-2011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380758400000",
"number": "1265447098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 WARWICK WAY",
"city": "RACINE",
"state": "WI",
"postal_code": "534065661",
"telephone_number": "262-687-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 WARWICK WAY",
"city": "RACINE",
"state": "WI",
"postal_code": "534065661",
"telephone_number": "262-687-7550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHEATON FRANCUSCAN HEALTHCARE-ALL SAINTS, INC",
"enumeration_date": "2006-07-30",
"last_updated": "2013-10-03",
"status": "A",
"authorized_official_last_name": "BOLAND",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "262-687-4886",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "WI",
"license": null,
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "WI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42061100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dialysis West",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Racine, WI
- Michael Robert Westman, D.D.S., M.S.
- WFHC - All Saints
- Wheaton Franciscan Healthcare-All Saints
- Wheaton Franciscan Healthcare-All Saints Foundation Inc
- Wheaton Franciscan Healthcare-All Saints, Inc
- Wheaton Franciscan Hospital
- Mary A Wheeler, PA
- Hollie White, APSW
- Mary Jane Whitmore, LCSW, CADCIII
- Alyson Gail Wiedenbeck, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.