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NPI Code Detail

MEDICARE: HOWARD YOUNG MEDICAL CENTER INC OF WOODRUFF WISCONSIN

MEDICARE: HOWARD YOUNG MEDICAL CENTER INC OF WOODRUFF WISCONSIN
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
1207P00000XEmergency Medicine Physician
2282N00000XGeneral Acute Care Hospital201WI

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 : 1184673352
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOWARD YOUNG MEDICAL CENTER INC OF WOODRUFF WISCONSIN
Provider Business Mailing Address
First Line : 29980 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1299
Country : US
Telephone Number : 715-847-2304
Fax Number :
Provider Business Practice Location Address
First Line : 240 MAPLE ST
Second Line :
City : WOODRUFF
State : WI
Zip : 54568-9190
Country : US
Telephone Number : 715-356-8000
Fax Number : 715-356-8286
Authorized Official
Title or Position : SVP & CHIEF FINANCIAL OFFICER
Name : JERRY M YANG
Credential :
Telephone Number : 715-847-2526
Provider Enumeration Date : 05/08/2006
Last Update Date : 06/07/2024

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