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General NPI Number Information
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NPI Number | 1316416035
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Entity Type | Organization
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Legal Business Name | MCHS HOSPITALS INC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2310 CRAIG RD
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6128
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Country | US
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Telephone | 715-858-8100
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Fax | 715-858-8200
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Provider Business Mailing Address
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Address Line | 1000 N OAK AVE ATTN: PROVIDER ENROLLMENT SERVICES SHP FL2
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City | MARSHFIELD
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State | WI
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Zip | 54449-5703
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE OPERATIONS
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Name | JOLYN MUNSON
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Credential |
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Telephone | 605-328-6585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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