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General NPI Number Information
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NPI Number | 1063404341
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Entity Type | Organization
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Legal Business Name | RICHLAND HOSPITAL
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 301 E 2ND ST STE 1C, 2B, 3B, 3C
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City | RICHLAND CENTER
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State | WI
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Zip | 53581-1900
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Country | US
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Telephone | 608-647-6321
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Fax | 608-647-6325
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Provider Business Mailing Address
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Address Line | 333 E 2ND ST
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City | RICHLAND CENTER
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State | WI
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Zip | 53581-1914
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Country | US
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Telephone | 608-647-6321
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRUCE ROESLER
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Credential |
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Telephone | 608-647-6321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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