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General NPI Number Information
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NPI Number | 1760020838
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 12/19/2019
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 212800 STAINLESS AVE
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City | STRATFORD
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State | WI
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Zip | 54484-4325
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Country | US
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Telephone | 715-687-4211
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Fax |
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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
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Country | US
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Telephone | 715-387-5511
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Fax |
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Authorized Official
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Title or Position | COO, AO
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Name | KATHLEEN A BRESSLER
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Credential |
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Telephone | 715-975-6018
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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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