Healthcare Provider Details

I. General information

NPI: 1477228070
Provider Name (Legal Business Name): WESTFIELDS HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 08/16/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 65TH AVE
OSCEOLA WI
54020-4370
US

IV. Provider business mailing address

535 HOSPITAL RD
NEW RICHMOND WI
54017-1449
US

V. Phone/Fax

Practice location:
  • Phone: 715-243-3400
  • Fax:
Mailing address:
  • Phone: 715-243-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS EDWARD JOHNSON
Title or Position: CFO
Credential:
Phone: 651-430-4581