NPI 1003831132

Froedtert South, INC.

Organisation General Acute Care Hospital Pleasant Prairie, WI

Practice location

Address: 9555 76th St, Pleasant Prairie, WI 53158-1984
Phone: (262) 577-8000
Fax: (262) 653-5852
Mailing address: 6308 8th Ave, Kenosha, WI 53143-5031

Authorised official

Name: Thomas J Kelley
Title: Vp & Cfo
Phone: (262) 577-8113

Registered specialties (2)

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 52-0021 (WI)

Other General Acute Care Hospital providers in Wisconsin →

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 52-2335 (WI)

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1003831132
Entity type: Organization
NPI issued: 12 Jul 2006
Record last updated: 22 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.