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NPI Code Detail

MEDICARE: MEMORIAL HOSPITAL INC

MEDICARE: MEMORIAL HOSPITAL 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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1619966793
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMORIAL HOSPITAL INC
Provider Business Mailing Address
First Line : N3708 RIVER AVE
Second Line :
City : NEILLSVILLE
State : WI
Zip : 54456-7218
Country : US
Telephone Number : 715-743-3101
Fax Number :
Provider Business Practice Location Address
First Line : N3708 RIVER AVE
Second Line :
City : NEILLSVILLE
State : WI
Zip : 54456-7218
Country : US
Telephone Number : 715-743-3101
Fax Number :
Authorized Official
Title or Position : COO, AO
Name : KATHLEEN A BRESSLER
Credential :
Telephone Number : 715-975-6018
Provider Enumeration Date : 10/20/2005
Last Update Date : 03/05/2025

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Directions to “MEMORIAL HOSPITAL INC ” Practice Location

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