Healthcare Provider Details

I. General information

NPI: 1477146082
Provider Name (Legal Business Name): STOUGHTON HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5614 US HIGHWAY 51
MCFARLAND WI
53558-8708
US

IV. Provider business mailing address

900 RIDGE ST
STOUGHTON WI
53589-1864
US

V. Phone/Fax

Practice location:
  • Phone: 608-838-8242
  • Fax: 608-873-2255
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ANNE ABEY
Title or Position: CFO/VP FINANCE
Credential:
Phone: 608-873-2267