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
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1376532713
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	:	502 E ELM DR
Second Line	:
City	:	LOYAL
State	:	WI
Zip	:	54446-9604
Country	:	US
Telephone Number	:	715-255-8551
Fax Number	:

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

1891818357 — BRENDA J SCHROEDER PT
Practice Location Address:

502 E ELM DR
LOYAL, WI
54446-9604

Practice Phone: 715-255-8551
Practice Fax:

1801270962 — MEMORIAL HOSPITAL INC
Practice Location Address:

502 E ELM DR
LOYAL, WI
54446-9604

Practice Phone: 715-255-8551
Practice Fax: 715-743-8022

1720164676 — MARSHFIELD CLINIC
Practice Location Address:

141 N. MAIN ST.
LOYAL, WI
54446

Practice Phone: 715-255-8595
Practice Fax:

1417074840 — LOYAL UNIFIED FIRE & AMBULANCE SERVICE INC
Practice Location Address:

W4325 STATE HIGHWAY 98
LOYAL, WI
54446-8534

Practice Phone: 715-255-8721
Practice Fax:

1134300882 — LOYAL SCHOOL DISTRICT
Practice Location Address:

514 CENTRAL STREET
LOYAL, WI
54446

Practice Phone: 715-255-8552
Practice Fax: 715-255-8553

1285924134 — MRS. KIM JOYCE LOOS LPN
Practice Location Address:

W3489 153 RD
LOYAL, WI
54446-8949

Practice Phone: 715-937-3127
Practice Fax:

Directions to “MEMORIAL HOSPITAL, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.