Healthcare Provider Details

I. General information

NPI: 1659471068
Provider Name (Legal Business Name): CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 3RD AVE W
DURAND WI
54736-1600
US

IV. Provider business mailing address

PO BOX 224
DURAND WI
54736-0224
US

V. Phone/Fax

Practice location:
  • Phone: 715-672-4211
  • Fax: 715-672-3047
Mailing address:
  • Phone: 715-672-4211
  • Fax: 715-672-3047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1008
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: TROY DUBE
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 715-672-4211