Prohealth Waukesha Memorial Hospital, Inc. · General Acute Care Hospital

725 American Ave, Waukesha, WI 53188

Overview

Prohealth Waukesha Memorial Hospital, Inc. is a General Acute Care Hospital (organization) practicing in Waukesha, Wisconsin. The National Provider Identifier (NPI) is #1629056890, which was assigned on January 6, 2006, and the registration record was last updated on September 24, 2025. The practitioner's main practice location is at 725 American Ave, Waukesha, WI 53188; the contact telephone number is 2629281000, and the fax number is 2629287810. The primary taxonomy of Prohealth Waukesha Memorial Hospital, Inc. is General Acute Care Hospital (282N00000X). The authorized official for Prohealth Waukesha Memorial Hospital, Inc. is Susan A Edwards (Ceo). Prohealth Waukesha Memorial Hospital, Inc. is licensed to practice in the state of Wisconsin (#41), Wisconsin (#41), Wisconsin (#41).

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Provider Information

NPI 1629056890
Entity Type Organization
Organization Name PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC.
Provider Name PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC.
Practice Address 725 American Ave
Waukesha
WI 53188
Practice Telephone 2629281000
Practice Fax Number 2629287810
Mailing Address 725 American Ave
Waukesha
WI 53188-5031
Mailing Telephone 2629282510
Mailing Fax Number 2629284032
Certification Date 2025-09-24
Enumeration Date 2006-01-06
Last Update Date 2025-09-24
Is Organization Subpart N

Authorized Official Information

Official Name SUSAN A EDWARDS
Official Title CEO
Telephone 2629282263

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N273Y00000XRehabilitation Unit41WI
N273R00000XPsychiatric Unit41WI
Y282N00000XGeneral Acute Care Hospital41WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
11006600WIMEDICAID

Secondary Practice Locations

AddressTelephoneFax
240 Maple Ave, Mukwonago, WI 5314984752623631900
721 American Ave Ste 508, Waukesha, WI 5318850712629287898

Taxonomy Information

Primary Taxonomy

Code 282N00000X
Taxonomy General Acute Care Hospital
Classification General Acute Care Hospital
Grouping Hospitals
Definition: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Other Taxonomy

Code 273Y00000X
Taxonomy Rehabilitation Hospital Unit
Classification Rehabilitation Unit
Grouping Hospital Units
Definition: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
Notes: Source: Code of Federal Regulations #42, Section 412.29.

Other Taxonomy

Code 273R00000X
Taxonomy Psychiatric Hospital Unit
Classification Psychiatric Unit
Grouping Hospital Units
Definition: In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
The Board of Trustees of The University of Illinois 1220 S Wood St Rm 1047, Chicago, IL 60608-1202General Acute Care Hospital2026-04-24
Prisma Health-Midlands 1120 Roberts Branch Pkwy Ste 400, Columbia, SC 29203-9144General Acute Care Hospital2026-04-22
Russell Medical 3316 Highway 280, Alex City, AL 35010-3369General Acute Care Hospital2026-04-21
Freeman Health System Nwa, LLC 603 N Progress Ave, Siloam Springs, AR 72761-4352General Acute Care Hospital2026-05-05
Tri-City Medical Center Corporation 4002 Vista Way, Oceanside, CA 92056-4506General Acute Care Hospital2026-04-23
Grove City Medical Center 631 N Broad Street Ext, Grove City, PA 16127-4603General Acute Care Hospital2026-05-07
Guadalupe County Hospital Board 108 Medical, Seguin, TX 78155-5393General Acute Care Hospital2026-04-22
Ohi Lakeland Highlands Inc 963 Lakeland Park Center Dr, Lakeland, FL 33809-3839General Acute Care Hospital2026-04-22
Houston Methodist Willowbrook Hospital 18220 State Highway 249 Ste 490, Houston, TX 77070-4347General Acute Care Hospital2026-04-23
The Board of Trustees of The University of Illinois 2242 W Harrison St Ste 104, Chicago, IL 60612-3515General Acute Care Hospital2026-04-24
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Location Information

Street Address 725 AMERICAN AVE
City WAUKESHA
State WI
Zip Code 53188
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Elizabeth Rose Lemm 725 American Ave, Waukesha, WI 53188-5031Physician Assistant2025-10-02
Telly Hunter 725 American Ave, Waukesha, WI 53188-5031Student in an Organized Health Care Education/Training Program2024-07-08
Louis Noto, M.D., S.C. 725 American Ave, Waukesha, WI 53188-5099Pain Medicine (Anesthesiology) Physician2023-09-27
Hannah Marx 725 American Ave, Waukesha, WI 53188-5031Registered Nurse2024-12-02
Cassandra Poehler 725 American Ave, Waukesha, WI 53188-5031Physical Therapist2025-05-12
Tori Schlavensky · Tori Haupt 725 American Ave, Waukesha, WI 53188-5031Acute Care Nurse Practitioner2025-08-27
Tiffany Bowden 725 American Ave, Waukesha, WI 53188-5099Physician Assistant2024-06-06
Audrey Lisy Valentine 725 American Ave, Waukesha, WI 53188-5031Student in an Organized Health Care Education/Training Program2024-04-03
Alyzza Mae Cruz 725 American Ave, Waukesha, WI 53188-5031Physical Therapist2026-01-23
Natasha Jean Pinkerton 725 American Ave, Waukesha, WI 53188-5031Clinical Social Worker2023-09-27
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Patricia Marie Sombrio · Sombrio Marie Vanderheyden 711 Moreland Blvd 204, Waukesha, WI 53188Dental Hygienist2017-09-04
Melissa Ann Kohnert N17w24222 Riverwood, 170, Pewaukee, WI 53188Clinical Social Worker2024-12-09
Margaret Anastasia Berg 2607 N Grandview Blvs #110, Waukesha, WI 53188Mental Health Counselor2021-05-11
Loyal Loving Hands Healthcare LLC N91w24400 Riverwood Drive, Suite 350, Waukesha, WI 53188Personal Care Attendant2025-05-02
Ashley Susan Callahan 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188Dental Hygienist2018-07-19
Comfort Transport, LLC W238n1645 Rockwood Dr, Suite H, Waukesha, WI 53188Non-emergency Medical Transport (VAN)2013-06-26
Zoe Penczykowski 514 Riverview Avenue, Waukesha, WI 53188Case Manager/Care Coordinator2022-07-26
Lynne Sarah Alva 711 Moreland Blvd, Suite 204, Waukesha, WI 53188Dental Hygienist2016-09-01
Breathe Wellness & Prenatal Care LLC 2607 N. Gradview Blvd, Suite 110, Waukesha, WI 53188Mental Health Clinic/Center (Including Community Mental Health Center)2024-01-26
Emily Elizabeth Seefeld 29667 Summit Ave S11, Waukesha, WI 53188Occupational Therapy Assistant2018-12-05
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.