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General NPI Number Information
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NPI Number | 1184765240
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Entity Type | Organization
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Legal Business Name | TOMAH MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 501 GOPHER DR
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City | TOMAH
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State | WI
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Zip | 54660-4513
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Country | US
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Telephone | 608-372-2181
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Fax | 608-377-8737
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Provider Business Mailing Address
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Address Line | 501 GOPHER DR
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City | TOMAH
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State | WI
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Zip | 54660-4513
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Country | US
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Telephone | 608-372-2181
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Fax | 608-377-8637
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Authorized Official
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Title or Position | CFO
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Name | MR. JOSEPH ZEPS
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Credential |
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Telephone | 608-372-2181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 2049-800
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License Number State | WI
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