TOMAH MEMORIAL HOSPITAL INC (NPI# 1184765240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184765240 |
| Entity Type | Organization |
| Organization Name | TOMAH MEMORIAL HOSPITAL INC |
| Other Organization Name | TOMAH MEMORIAL HOSPITAL |
| Practice Address |
501 Gopher Dr Tomah WI 54660-4513 |
| Practice Telephone | 6083722181 |
| Practice Fax Number | 6083778737 |
| Mailing Telephone | 6083722181 |
| Mailing Fax Number | 6083778637 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | MR. PHILIP J STUART (CEO) |
| Authorized Official Telephone | 6083722181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
2049-800 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11017810 | 05 |
| Other Name | Type Code |
|---|---|
| Tomah Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588706329 | Tomah Memorial Hospital Inc | Hospice Care, Community Based | 601 Straw St, Tomah, WI 54660-1173 | 2007-02-12 |
| 1356824551 | Tomah Memorial Hospital Inc | Clinical Medical Laboratory | 501 Gopher Dr, Tomah, WI 54660-4513 | 2018-09-13 |
| 1992970453 | Tomah Memorial Hospital Inc | Emergency Medicine | 501 Gopher Dr, Tomah, WI 54660-4513 | 2008-04-25 |
| 1205978046 | Tomah Memorial Hospital Inc | Medicare Defined Swing Bed Unit | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-12 |
| Street Address |
501 GOPHER DR |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057717 | Agnieszka Dendura | Nurse Practitioner | 501 Gopher Dr, Tomah, WI 54660-4513 | 2020-03-04 |
| 1356824551 | Tomah Memorial Hospital Inc | Clinical Medical Laboratory | 501 Gopher Dr, Tomah, WI 54660-4513 | 2018-09-13 |
| 1104214907 | Kimberly Ann Tozer | Nurse Anesthetist, Certified Registered | 501 Gopher Dr, Tomah, WI 54660 | 2014-12-31 |
| 1174874697 | Tomah Memorial Hospital, Inc. | Non-Pharmacy Dispensing Site | 501 Gopher Dr, Tomah, WI 54660-4513 | 2012-09-24 |
| 1992970453 | Tomah Memorial Hospital Inc | Emergency Medicine | 501 Gopher Dr, Tomah, WI 54660-4513 | 2008-04-25 |
| 1205978046 | Tomah Memorial Hospital Inc | Medicare Defined Swing Bed Unit | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1255662573 | Donald Morris Levy | General Acute Care Hospital | 4348 W Tarrytown Ln, Mequon, WI 53092-4850 | 2010-01-26 |
| 1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
| 1104953090 | New Anesthesia | General Acute Care Hospital | 1236 Stillmeadow Ln, Menasha, WI 54952-8920 | 2007-02-27 |
| 1194737817 | Chippewa Valley Hospital & Oakview Care Center, Inc. | General Acute Care Hospital | 1220 3rd Ave W, Durand, WI 54736-1600 | 2006-08-12 |
| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1881640183 | Westfields Hospital, Inc. | General Acute Care Hospital | 535 Hospital Road, New Richmond, WI 54017-1449 | 2006-05-26 |
| 1053362624 | Ripon Medical Center Inc | General Acute Care Hospital | 845 Parkside Street, Ripon, WI 54971-8505 | 2006-05-16 |
| 1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
| 1114987054 | Lafayette County | General Acute Care Hospital | 800 Clay St, Darlington, WI 53530-1228 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
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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.