St.Michael Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

54 Issued in WI

Legal business name

ST.MICHAEL HOSPITAL

Practice address

2400 W Villard Ave
Milwaukee, WI 53209-4901

Phone

(414) 527-8000

NPI assigned

Feb 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jon W Sohn

Title

VP Financial Operations

Phone

(414) 465-3090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covenent Health system, INC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 520192

Legal name

NEXTCARE SPECIALTY HOSP OF MILWAUKEE

Certification status

Terminated Other: provider status change, Feb 1, 2001

Provider type (POS)

Hospital – Short-term

Participating since

Jul 24, 2000

Last certification

Jun 21, 2000

Beds

17

Ownership / control type

Private (for profit)

Facility address

2400 W Villard Ave Third Floor South
Milwaukee, WI 53209

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1417923020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MICHAEL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "414-465-3090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11009400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenent Health system, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda St. Louis, APNP
• St. Rose Youth & Family Center, Inc
• St. Rose Youth and Family Center
• St. Vincent de Paul Society of Milwaukee
• Amy Michelle St.John, COTA
• Kinsey Staab
• Melissa Christine Staats, PHARMD
• Josephine Stache I
• Danuta Lana Stachiw, MS
• Nicholas J Stachowiak, PA-C

• General Acute Care Hospital in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Acute Care Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.