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NPI Code Detail

MEDICARE: MEMORIAL HOSPITAL, INC.

MEDICARE: MEMORIAL HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093704447
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMORIAL HOSPITAL, INC.
Provider Business Mailing Address
First Line : 216 SUNSET PL
Second Line :
City : NEILLSVILLE
State : WI
Zip : 54456-1706
Country : US
Telephone Number : 715-743-3101
Fax Number : 715-743-6245
Provider Business Practice Location Address
First Line : 216 SUNSET PL
Second Line :
City : NEILLSVILLE
State : WI
Zip : 54456-1706
Country : US
Telephone Number : 715-743-3101
Fax Number : 715-743-3101
Authorized Official
Title or Position : ADMINISTRATOR
Name : SCOTT POLENZ
Credential :
Telephone Number : 715-743-3101
Provider Enumeration Date : 10/18/2005
Last Update Date : 05/12/2008

Similar Medicare Providers

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Practice Location Address:
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NEILLSVILLE, WI
54456-1706
Practice Phone: 715-743-3101
Practice Fax: 715-743-6245
1972592178 — DR. TIMOTHY CHARLES MEYER DO
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1932198066 — DAVID ALAN FIELDS PAC
Practice Location Address:
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NEILLSVILLE, WI
54456-1706
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Practice Fax: 715-743-6245
1710976741 — MEMORIAL HOSPITAL, INC.
Practice Location Address:
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NEILLSVILLE, WI
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Practice Fax: 715-743-6245
1861446403 — MUNICIPAL AMBULANCE SERVICE
Practice Location Address:
216 SUNSET PL
NEILLSVILLE, WI
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Practice Fax:
1760586770 — KURT BROWN DO
Practice Location Address:
216 SUNSET PL
NEILLSVILLE, WI
54456-1706
Practice Phone: 715-743-3101
Practice Fax: 715-743-6245

Directions to “MEMORIAL HOSPITAL, INC. ” Practice Location

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