LADD MEMORIAL HOSPITAL (NPI# 1285926501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285926501 |
| Entity Type | Organization |
| Organization Name | LADD MEMORIAL HOSPITAL |
| Other Organization Name | OSCEOLA CLINIC PHARMACY |
| Practice Address |
2600 65th Avenue Osceola WI 54020-0218 |
| Mailing Address |
Po Box 218 Osceola WI 54020-0218 |
| Practice Telephone | 7152944050 |
| Practice Fax Number | 7152945690 |
| Mailing Telephone | 7152944050 |
| Mailing Fax Number | 7152945690 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MATT FORGE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7152945622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9071-042 | WI | Suppliers |
| Other Name | Type Code |
|---|---|
| Osceola Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700195542 | Ladd Memorial Hospital | Clinic/Center | 21150 Ozark Ave N, Scandia, MN 55073-9447 | 2010-09-28 |
| 1184841561 | Ladd Memorial Hospital | Pharmacy | 301 River St., Osceola, WI 54020 | 2007-04-19 |
| 1801394549 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-01-29 |
| 1467560227 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2006-08-29 |
| Street Address |
2600 65TH AVENUE |
| City | OSCEOLA |
| State | WI |
| Zip Code | 54020-0218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265407662 | Warren F Abell Jr. | Surgery | 2600 65th Avenue, Osceola, WI 54020-3024 | 2006-02-20 |
| 1679891923 | Tawnya Jo Koenig | Dietitian, Registered | 2600 65th Avenue, Osceola, WI 54020-0218 | 2010-05-12 |
| 1386973048 | Ann M Olson | Physical Therapist | 2600 65th Avenue, Osceola, WI 54020-4370 | 2009-12-09 |
| 1417126400 | Lanette M Johnson | Occupational Therapist | 2600 65th Avenue, Osceola, WI 54020-4370 | 2008-02-25 |
| 1437327392 | Kelly L Hogen | Physical Therapy Assistant | 2600 65th Avenue, Osceola, WI 54020-4370 | 2008-02-13 |
| 1669661559 | Andrea R Petersen | Dietitian, Registered | 2600 65th Avenue, Osceola, WI 54020-3024 | 2007-10-17 |
| 1255524633 | Nicole D Svihel | Physician Assistant | 2600 65th Avenue, Osceola, WI 54020-3024 | 2007-08-20 |
| 1598836868 | Kathy L Braaten | Physical Therapist | 2600 65th Avenue, Osceola, WI 54020-4370 | 2006-11-10 |
| 1578634879 | Melinda R Grandaw | Occupational Therapist | 2600 65th Avenue, Osceola, WI 54020-4370 | 2006-11-10 |
| 1316042278 | Joan M Flanders | Physical Therapist | 2600 65th Avenue, Osceola, WI 54020-4370 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1780177840 | Joseph John Clymer | Social Worker | 405 Delmar Ave, Osceola, WI 54020 | 2018-06-12 |
| 1811401763 | Tiffany Morris | Acupuncturist | 207 N Cascade St, Osceola, WI 54020 | 2017-11-29 |
| 1255842779 | Olson Cc Wellness LLC | Chiropractor | 307 N Cascade Street, Osceola, WI 54020 | 2017-10-24 |
| 1396266599 | Danelle Mortenson | Counselor | 204 3rd Ave., Suite 100, Osceola, WI 54020 | 2017-06-28 |
| 1306200076 | Wendy Field | Registered Nurse | 2789 Cloutier Ct, Osceola, WI 54020 | 2016-04-08 |
| 1023391877 | Christian Community Home of Osceola, Inc. | Skilled Nursing Facility | 2650 65th Ave, Osceola, WI 54020 | 2011-09-27 |
| 1073768602 | Jamie J Mason | Marriage & Family Therapist | 204 3rd Ave W, Suite 100, Osceola, WI 54020 | 2008-11-24 |
| 1710137963 | Michelle Lynn Thoen | Counselor | 307 N Cascade St, Third Floor, Osceola, WI 54020 | 2008-09-24 |
| 1457533903 | School District of Osceola | Local Education Agency (LEA) | 331 Middle School Dr, Osceola, WI 54020 | 2007-11-27 |
| Find all providers in zip 54020 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
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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.