Ascension Calumet - Chilton
Locations

Ascension Calumet - Chilton

Department of Ascension Calumet Hospital
  • Primary Care/Clinic
  • Ear, nose and throat care
  • Audiology

Address

618 Memorial Dr
Chilton, WI 53014

Phone

920-849-3800

Appointments

Departments

W-9 Forms

Federal W-9 forms should be used to report the legal name and federal tax ID number for purposes of vendor and payer reporting.

In this section, our valued vendors will find basic information related to Ascension Wisconsin entities located in Northeast Wisconsin.

Corporate Compliance Program

Ascension Wisconsin's Corporate Compliance Program helps our organization, its associates and contractors abide by all applicable laws, regulations and policies. The program is consistent with our Standards of Conduct. Our goal is to do business with individuals who abide by similar principles.

We value the vital contribution our vendor representatives make to the quality care we provide. We ask that you become familiar with a few of our most relevant compliance principles to better enable you, your company and our organization to conduct business in a mutually satisfactory manner.

If you have any questions about our compliance program, please contact Sarah Kleaveland Kupczak, Corporate Responsibility Officer, at 414-465-3508.

IRS W-9 Forms