MEMORIAL HOSPITAL OF LAFAYETTE COUNTY (NPI# 1326214768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326214768 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL OF LAFAYETTE COUNTY |
| Practice Address |
800 Clay St Darlington WI 53530-1228 |
| Practice Telephone | 6087764466 |
| Mailing Telephone | 6087764466 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | SHERRY KUDRONOWICZ (CEO) |
| Authorized Official Telephone | 6087764466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 1015 | WI | Allopathic & Osteopathic Physicians |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 1015 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207P00000X | Emergency Medicine | 1015 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32765900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427224864 | Memorial Hospital of Lafayette County | Clinical Medical Laboratory | 800 Clay St, Darlington, WI 53530-1228 | 2008-05-06 |
| 1861668204 | Memorial Hospital of Lafayette County | Pharmacy | 800 Clay St, Darlington, WI 53530-1228 | 2008-05-06 |
| 1407022841 | Memorial Hospital of Lafayette County | Physical Therapy Assistant | 800 Clay St, Darlington, WI 53530-1228 | 2008-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL OF LAFAYETTE COUNTY | 800 Clay St, Darlington, WI 53530-1228 |
| Street Address |
800 CLAY ST |
| City | DARLINGTON |
| State | WI |
| Zip Code | 53530-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987054 | Lafayette County | General Acute Care Hospital | 800 Clay St, Darlington, WI 53530-1228 | 2006-03-24 |
| 1932687860 | Staci R Day | Physician Assistant | 800 Clay St, Darlington, WI 53530-1228 | 2018-08-02 |
| 1700308558 | Lisa Ann Bourquin | Nurse Practitioner | 800 Clay St, Darlington, WI 53530-1228 | 2017-07-13 |
| 1699111633 | Lucas Adam Suthers | Registered Nurse | 800 Clay St, Darlington, WI 53530-1228 | 2013-05-16 |
| 1427224864 | Memorial Hospital of Lafayette County | Clinical Medical Laboratory | 800 Clay St, Darlington, WI 53530-1228 | 2008-05-06 |
| 1861668204 | Memorial Hospital of Lafayette County | Pharmacy | 800 Clay St, Darlington, WI 53530-1228 | 2008-05-06 |
| 1407022841 | Memorial Hospital of Lafayette County | Physical Therapy Assistant | 800 Clay St, Darlington, WI 53530-1228 | 2008-05-06 |
| 1740468693 | Orthopaedic & Sports Medicine Clinic | Orthopaedic Surgery | 800 Clay St, Darlington, WI 53530-1228 | 2008-02-02 |
| 1023102993 | William Thomas Stoneking | Nurse Anesthetist, Certified Registered | 800 Clay St, Darlington, WI 53530-1228 | 2006-10-03 |
| 1487755179 | Lafayette County | Clinic/Center | 800 Clay St, Darlington, WI 53530-1228 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902171127 | Dianne Evans | Counselor | 627 Main Street, Darlington, WI 53530 | 2012-03-21 |
| 1922413160 | Courtney Mccarthy | Marriage & Family Therapist | 627 Main St, Darlington, WI 53530 | 2014-06-26 |
| 1821303157 | Michael A White | Counselor | 15701 County Road K, Darlington, WI 53530 | 2010-08-11 |
| 1104890482 | Martin Cleary | Family Medicine | 731 Clay St, Darlington, WI 53530 | 2006-02-14 |
| 1043375876 | Lafayette County | Home Health | 729 Clay St, Darlington, WI 53530-0118 | 2006-12-22 |
| 1730535279 | Molly Anne Zuehlke | Social Worker | 15701 County Rd. D., Darlington, WI 53530-0130 | 2016-05-13 |
| 1730359654 | Eye Care Center Ltd | Optometrist | 346 Main St, Darlington, WI 53530-0154 | 2008-03-06 |
| 1518072057 | Paul Curtis Lueck | Optometrist | 346 Main St, Darlington, WI 53530-0154 | 2006-08-21 |
| 1235293077 | Lafayette County | Public Health or Welfare | 729 Clay Street, Darlington, WI 53530-1225 | 2006-12-19 |
| 1326040098 | Donald Thomas Hay | Family Medicine | 731 Clay St, Darlington, WI 53530-1225 | 2005-08-12 |
| Find all providers in zip 53530 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
| City | DARLINGTON |
| Zip Code | 53530 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL OF LAFAYETTE COUNTY.
| 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.