Healthcare Provider Details

I. General information

NPI: 1194317966
Provider Name (Legal Business Name): FLAMBEAU HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 SHERRY AVE
PARK FALLS WI
54552-1467
US

IV. Provider business mailing address

1000 N OAK AVE PROVIDER ENROLLMENT SHP FL2
MARSHFIELD WI
54449-5703
US

V. Phone/Fax

Practice location:
  • Phone: 715-762-2484
  • Fax:
Mailing address:
  • Phone: 715-389-0668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN A BRESSLER
Title or Position: COO, AO
Credential:
Phone: 715-975-6018