Healthcare Provider Details

I. General information

NPI: 1255981809
Provider Name (Legal Business Name): RICHLAND HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 2ND ST
RICHLAND CENTER WI
53581-1900
US

IV. Provider business mailing address

333 E 2ND ST
RICHLAND CENTER WI
53581-1914
US

V. Phone/Fax

Practice location:
  • Phone: 608-647-6161
  • Fax:
Mailing address:
  • Phone: 608-647-6321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRUCE ROESLER
Title or Position: CEO
Credential:
Phone: 608-647-6321