Organization Active NPI

Wheaton Franciscan Healthcare-All Saints, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Racine, WI
National Provider Identifier
1942216908
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INC
Practice address
818 6TH St
Racine, WI 53403-1176
Phone
(262) 687-6363
NPI assigned
Jul 31, 2006
Organization subpart
Yes
Parent organization
WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X WI Primary
General Acute Care Hospital 282N00000X WI

Addresses

Primary practice location

818 6TH St
Racine, WI 53403-1176

Mailing address

818 6TH St
Racine, WI 53403-1176
Phone (262) 687-6363

Other identifiers 1

IdentifierTypeStateIssuer
42060400MedicaidWI

Other names 1

  • Dialysis East Other name

National Provider Directory

National Provider Directory
Part of
James F Tierney MD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1942216908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 6TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031176",
            "telephone_number": "262-687-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 6TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031176",
            "telephone_number": "262-687-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INC",
        "enumeration_date": "2006-07-31",
        "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": "42060400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis East",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Racine, WI

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.

Verify at the official NPI Registry.