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NPI Code Detail

MEDICARE: ST JOSEPHS HOSPITAL OF MARSHFIELD INC

MEDICARE: ST JOSEPHS HOSPITAL OF MARSHFIELD INC
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/CenterWI

Other Identifiers

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

General Provider Information

NPI Number : 1275515991
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JOSEPHS HOSPITAL OF MARSHFIELD INC
Provider Business Mailing Address
First Line : 611 SAINT JOSEPH AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-1832
Country : US
Telephone Number : 715-387-1713
Fax Number : 715-387-7434
Provider Business Practice Location Address
First Line : 1041B HILL ST
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5221
Country : US
Telephone Number : 715-387-1713
Fax Number : 715-387-7434
Authorized Official
Title or Position : CFO
Name : MR. JOHN A SKADEN
Credential :
Telephone Number : 715-387-7856
Provider Enumeration Date : 11/17/2005
Last Update Date : 07/17/2009

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Directions to “ST JOSEPHS HOSPITAL OF MARSHFIELD INC ” Practice Location

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