| NPI | 1962507228 |
|---|---|
| Doing Business As | CHILDREN'S HOSPITAL OF WISCONSIN, INC. - KENOSHA |
| Entity Type | Organization |
| Authorized Contact | WELDON W GAGE CFO/Treasurer 414-266-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: WI 1003) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2013-04-25 |