Aspirus Wausau Hospital Inc
Organization Active NPI Clinic/Center · Wittenberg, WI
NPI 1467782821 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1467782821
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ASPIRUS WAUSAU HOSPITAL INC
- Practice address
- 1660 Sue Alan Dr
Wittenberg, WI 54499-8655 - Phone
- (715) 253-2110
- NPI assigned
- Jan 7, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- ASPIRUS WAUSAU HOSPITAL INC
Authorized official
- Name
- Jerry M Yang
- Title
- SVP & Chief Financial Officer
- Phone
- (715) 847-2526
Other NPIs on the same Medicare enrollment 32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040114000297 | WI | Part B Supplier - Clinic/Group Practice | 6406757442 |
Receives reassigned benefits from 687 practitioners 32 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wausau, WI; Weston, WI; Wisconsin Rapids, WI; Woodruff, WI; Merrill, WI; Antigo, WI; Eagle River, WI; Marrathon, WI… |
National Provider Directory
- Part of
- Wausau Hospital Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1660 Sue Alan Dr
Wittenberg, WI 54499-8655
Mailing address
PO Box 1008
Wausau, WI 54402-1008
Phone (715) 847-2318
Other names
- Aspirus Wittenberg Clinic
Other providers in Wittenberg, WI
- Brittany Anderson
- Aspirus Medical Group, Inc.
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
- Below Chiropractic Inc
- Bruce A Beversdorf
- Sarah Bradley
- Margaret Patrice Bresnahan I
- Emily M Calonder
All providers in Wittenberg, WI · Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 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.