Healthcare Provider Details
I. General information
NPI: 1821304098
Provider Name (Legal Business Name): MCHS HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2010
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 N OAK AVE
MARSHFIELD WI
54449-5703
US
IV. Provider business mailing address
1000 N OAK AVE ATTN: PROVIDER ENROLLMENT SERVICES SHP FL2
MARSHFIELD WI
54449-5703
US
V. Phone/Fax
- Phone: 715-387-9123
- Fax: 715-389-5997
- Phone: 715-387-5511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0207X |
| Taxonomy | Mobile Mammography Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOLYN
MUNSON
Title or Position: VP REVENUE CYCLE OPERATIONS
Credential:
Phone: 605-328-6585