VERNON MEMORIAL HEALTHCARE, INC. (NPI# 1164752648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164752648 |
| Entity Type | Organization |
| Organization Name | VERNON MEMORIAL HEALTHCARE, INC. |
| Practice Address |
507 S Main St Viroqua WI 54665-2059 |
| Practice Telephone | 6086374385 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | DAVID HARTBERG (CEO) |
| Authorized Official Telephone | 6086374796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295708204 | Vernon Memorial Healthcare, Inc. | Home Health | 705 Arena Dr, Viroqua, WI 54665-2059 | 2006-02-09 |
| 1619969490 | Vernon Memorial Healthcare, Inc. | Pharmacist | 104 Sunset Ave, Soldiers Grove, WI 54655-7523 | 2005-08-18 |
| 1215933767 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 100 Melby St, Westby, WI 54667-1012 | 2005-06-21 |
| 1376549824 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2005-06-21 |
| 1750387221 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 206 North Mill Street, La Farge, WI 54639-6601 | 2005-06-21 |
| 1467425488 | Vernon Memorial Healthcare, Inc. | Hospice Care, Community Based | 705 Arena Dr, Viroqua, WI 54665-2059 | 2006-02-09 |
| 1992701031 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2005-06-23 |
| 1497750921 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2005-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VERNON MEMORIAL HEALTHCARE, INC. | 507 S Main St, Viroqua, WI 54665-2059 |
| Street Address |
507 S MAIN ST |
| City | VIROQUA |
| State | WI |
| Zip Code | 54665-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104379 | Jeffrey P Scheidt | Nurse Anesthetist, Certified Registered | 507 S Main St, Viroqua, WI 54665-2059 | 2005-06-14 |
| 1760008874 | Kelli Pasch | Registered Nurse | 507 S Main St, Viroqua, WI 54665-2059 | 2020-06-24 |
| 1437638210 | Craig Aaron Pierce | Physician Assistant | 507 S Main St, Viroqua, WI 54665-2059 | 2018-08-12 |
| 1548623747 | John Holzhauer | Emergency Medicine | 507 S Main St, Viroqua, WI 54665-2059 | 2016-04-04 |
| 1306237615 | Cheryl Cade | Occupational Therapy Assistant | 507 S Main St, Viroqua, WI 54665-2059 | 2015-02-09 |
| 1245621614 | Claire Sheldon | Occupational Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2015-02-06 |
| 1770973257 | Kimberly Simonson | Occupational Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2015-02-04 |
| 1508255472 | Jessica Marie Addington | Physical Therapist | 507 S Main St, Physical Therapy Department, Viroqua, WI 54665-2059 | 2015-01-15 |
| 1790173573 | James Bacon | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2015-01-02 |
| 1093103095 | Traci Waters | Occupational Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2014-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178644 | Sarah Ann Gronemus | Occupational Therapist | 407 South Main Street, Suite 302, Viroqua, WI 54665 | 2019-01-29 |
| 1356836399 | Kali Roesler | Occupational Therapy Assistant | E7404 Cr-bb, Viroqua, WI 54665 | 2018-06-22 |
| 1679082226 | Tri-state Regional Ambulance, Inc. | Non-emergency Medical Transport (VAN) | 110 Brendel Lane, Suite B, Viroqua, WI 54665 | 2017-09-27 |
| 1053867200 | Jerrodf Lee Getter | Physical Therapy Assistant | S4602a Cty Road S, Viroqua, WI 54665 | 2016-08-28 |
| 1023496387 | Katrina M Johnson | Social Worker | 210 Airport Road, Suite 103, Viroqua, WI 54665 | 2015-05-07 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| 1831472083 | Longview Home for Boys | Community/Behavioral Health | E4600 Hwy 56, Viroqua, WI 54665 | 2011-09-23 |
| 1598092793 | Stephen James Groth | Pharmacist | S 5970 County N, Viroqua, WI 54665 | 2009-11-09 |
| 1265606842 | Kathryn Ann Sutton-anderson | Physical Therapist | 507 South Main Street, Viroqua, WI 54665 | 2008-04-15 |
| 1346385754 | Thomas Krieger-fritsch | Chiropractor | 114 Fs Dr Ste A, Viroqua, WI 54665 | 2007-02-21 |
| Find all providers in zip 54665 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790173573 | James Bacon | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2015-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326437294 | Mjcare | General Acute Care Hospital | 325 E. Iola St., Iola, WI 54945 | 2015-01-15 |
| 1699014571 | Monroe Clinic | General Acute Care Hospital | 2714 Yahara Rd, Stoughton, WI 53589-3369 | 2013-02-12 |
| 1740545730 | Divine Savior Healthcare | General Acute Care Hospital | W6412 Military Rd, Dalton, WI 53926-9330 | 2012-07-06 |
| 1689825630 | Jeanne Louise Sammartino | General Acute Care Hospital | 4231 Griffith Ave, Wisconsin Rapids, WI 54494-2706 | 2008-10-08 |
| 1942651401 | Thedacare | General Acute Care Hospital | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-06-27 |
| 1477901833 | Thedacare Medical Center Berlin | General Acute Care Hospital | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-05-26 |
| 1801270061 | Cumberland Healthcare | General Acute Care Hospital | 1100 7th Ave, Cumberland, WI 54829-9138 | 2015-07-16 |
| 1700189602 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9240 | 2010-12-15 |
| 1346543246 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd, Suite 103, Portage, WI 53901-9240 | 2010-12-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.