NPIMap

Organization Active NPI

St. Josephs Community Hospital of West Bend Inc.

  • General Acute Care Hospital
  • West Bend, WI
National Provider Identifier
1851336044
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
44 Issued in WI
Legal business name
ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC.
Practice address
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone
(262) 334-5533
NPI assigned
Jun 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Allen J Ericson
Title
President
Phone
(262) 836-8391

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 625

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 625

Care Compare: Hospital

Medicare Care Compare
Listed as
St Josephs Community Hospital West BendCCN 520063
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Hospital certification: CCN 520063

Legal name
ST JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC
Doing business as
FROEDTERT WEST BEND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 8, 2010
Beds
121
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050901000028 WI Part a Provider - Hospital 9436112497 Practice locations: West Bend, WI
O20190731003382 WI Part B Supplier - Intensive Cardiac Rehabilitation 9436112497 Practice locations: West Bend, WI

All disclosed owners & managing parties 19

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Froedtert Thedacare Health, Inc. Organization, Milwaukee, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Matthew R Partridge Individual Corporate OfficerSenior Vice President, Finance Dec 1, 2025
Patrick Patton Individual Corporate Director Jul 1, 2023
Shelly Waala Individual Corporate Director Jan 1, 2017
Peter Rettler Individual Corporate Director Jul 1, 2017
Steven Volkert Individual Corporate Director Aug 1, 2017
Bryce Gartland Individual Corporate Director Jul 1, 2025
Michael Degere Individual Corporate Director Jul 1, 2023
Carey M Cameron Individual Corporate Director Sep 28, 2023
Michelle M Arneson Individual Corporate Director Jul 1, 2023
David Ertmer Individual Corporate Director Jul 1, 2025
Matthew M Weston Individual Corporate Officer Jul 1, 2022
Mark W Semrad Individual Corporate Director Jul 1, 2024
Susanne Bartow Individual Corporate Director Jul 1, 2023
Michael Nowack Individual Corporate Director Jul 1, 2025
Tracy Haas Individual Corporate Director Jul 1, 2025
Jennifer Wimmer Individual Corporate Director Jul 1, 2025
Allen Ericson Individual Corporate DirectorPresident Jul 1, 2021
W-2 Managing Employee Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Amanda Gonring Individual Corporate Director Feb 24, 2026

National Provider Directory

National Provider Directory

Locations

1001 Potrero Ave
Rm 3C38
San Francisco, CA 94110
Phone (415) 206-8145

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 44 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

3200 Pleasant Valley Rd
West Bend, WI 53095-9274

Mailing address

N74W12501 Leatherwood CT Ste 103
Menomonee Falls, WI 53051-4490
Phone (414) 777-0417

Other names 1

NPPES NPI Registry
  • Froedtert West Bend Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2025.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1851336044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT STE 103",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490",
            "telephone_number": "414-777-0417",
            "fax_number": "414-777-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-334-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "ERICSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-836-8391"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert West Bend Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.