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NPI Code Detail

MEDICARE: ROGERS MEMORIAL HOSPITAL, INC.

MEDICARE: ROGERS 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
13336I0012XInstitutional Pharmacy

General Provider Information

NPI Number : 1902681703
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROGERS MEMORIAL HOSPITAL, INC.
Provider Business Mailing Address
First Line : 34700 VALLEY RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-4500
Country : US
Telephone Number : 800-767-4411
Fax Number :
Provider Business Practice Location Address
First Line : 34700 VALLEY RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-4500
Country : US
Telephone Number : 800-767-4411
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : CINDY MEYER
Credential : MSSW
Telephone Number : 262-303-0580
Provider Enumeration Date : 08/29/2023
Last Update Date : 01/20/2026

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