NPIMap

Organization Active NPI

St Luk4Es Medical Center

  • General Acute Care Hospital
  • Elm Grove, WI
National Provider Identifier
1457528838
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1440-24 Issued in WI
Legal business name
ST LUK4ES MEDICAL CENTER
Practice address
1055 Katherine Dr
Elm Grove, WI 53122-2152
Phone
(262) 784-1484
NPI assigned
May 14, 2008
Organization subpart
Yes
Parent organization
AURORA HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Margaret Haferman
Title
Manager
Phone
(414) 529-9289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1440-24 WI Primary

Addresses

Primary practice location

1055 Katherine Dr
Elm Grove, WI 53122-2152

Mailing address

3738 S 60TH St
Milwaukee, WI 53220-1935
Phone (414) 546-5460

Other identifiers 1

IdentifierTypeStateIssuer
40070300MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Medical Center12 organizations share this tax ID, including this one
Part of
St Lukes Medical Center

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3738 S 60th St
Milwaukee, WI 53220
Phone (414) 321-0211

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1457528838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 S 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532201935",
            "telephone_number": "414-546-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 KATHERINE DR",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222152",
            "telephone_number": "262-784-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUK4ES MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AURORA HEALTH CARE",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HAFERMAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-529-9289"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "1440-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40070300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.