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NPI Code Detail

MEDICARE: HOWARD YOUNG MEDICAL CENTER, INC.

MEDICARE: HOWARD YOUNG MEDICAL CENTER, 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
1282N00000XGeneral Acute Care Hospital201WI
2367500000XCertified Registered Nurse Anesthetist

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 : 1306898838
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOWARD YOUNG MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 240 MAPLE ST
Second Line :
City : WOODRUFF
State : WI
Zip : 54568-9190
Country : US
Telephone Number : 715-356-8105
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 :
Authorized Official
Title or Position : SVP & CHIEF FINANCIAL OFFICER
Name : JERRY M YANG
Credential :
Telephone Number : 715-847-2526
Provider Enumeration Date : 05/16/2006
Last Update Date : 11/19/2025

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