CCN: 521542 NPI: 1538169693 Organization

ST NICHOLAS HSPTL HHA AND HOSPICE

3100 SUPERIOR AVENUE
SHEBOYGAN, WI 53081

Contact Information

Phone 9204598300
Fax 9204528336
Enumeration Date 2005-07-29
Last Updated 2021-12-22

Taxonomies

Code: 251G00000X (Primary) License State: WI License: 532

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 0

cbsaActualGeographicLocation 43100

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43100

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 06302

localityCode 00