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NPI Code Detail

MEDICARE: ROGERS MEMORIAL HOSPITAL INCORPORATED

MEDICARE: ROGERS MEMORIAL HOSPITAL INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2261Q00000XClinic/Center
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5283Q00000XPsychiatric Hospital190WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053329581
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROGERS MEMORIAL HOSPITAL INCORPORATED
Provider Business Mailing Address
First Line : 34700 VALLEY RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-4500
Country : US
Telephone Number : 800-767-4411
Fax Number :
Provider Business Practice Location Address
First Line : 34700 VALLEY RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-4500
Country : US
Telephone Number : 800-767-4411
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : CINDY MEYER
Credential : MSSW
Telephone Number : 262-303-0580
Provider Enumeration Date : 08/03/2006
Last Update Date : 01/20/2026

Similar Medicare Providers

1699524751 — ROGERS BEHAVIORAL HEALTH - WISCONSIN SC
Practice Location Address:
34700 VALLEY RD
OCONOMOWOC, WI
53066-4500
Practice Phone: 800-767-4411
Practice Fax:
1902681703 — ROGERS MEMORIAL HOSPITAL, INC.
Practice Location Address:
34700 VALLEY RD
OCONOMOWOC, WI
53066-4500
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Practice Fax:
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Practice Location Address:
34700 VALLEY RD
OCONOMOWOC, WI
53066-4500
Practice Phone: 800-767-4411
Practice Fax: 262-646-7067
1306830377 — MR. PETER MATHEW LAKE MD
Practice Location Address:
34700 VALLEY RD , ROGERS MEMORIAL HOSPITAL
OCONOMOWOC, WI
53066-4500
Practice Phone: 262-646-4411
Practice Fax:
1114912169 — RICK WOODWARD PA
Practice Location Address:
34700 VALLEY RD
OCONOMOWOC, WI
53066-4500
Practice Phone: 800-767-4411
Practice Fax:
1962487256 — DR. TIM CHRISTOPHER LEVENHAGEN MD
Practice Location Address:
34700 VALLEY RD
OCONOMOWOC, WI
53066-4500
Practice Phone: 800-767-4411
Practice Fax: 262-646-7067

Directions to “ROGERS MEMORIAL HOSPITAL INCORPORATED ” Practice Location

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