Healthcare Provider Details

I. General information

NPI: 1306386297
Provider Name (Legal Business Name): RICHLAND HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E JEFFERSON ST
SPRING GREEN WI
53588-8000
US

IV. Provider business mailing address

150 E JEFFERSON ST
SPRING GREEN WI
53588-8000
US

V. Phone/Fax

Practice location:
  • Phone: 608-588-7413
  • Fax:
Mailing address:
  • Phone: 608-588-7413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN TRAYNOR
Title or Position: CFO
Credential:
Phone: 608-647-6321