MEMORIAL HOSPITAL, INC. (NPI# 1376532713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376532713 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL, INC. |
| Other Organization Name | MEMORIAL MEDICAL CENTER |
| Practice Address |
502 E Elm Dr Loyal WI 54446-9604 |
| Mailing Address |
216 Sunset Pl Neillsville WI 54456-1706 |
| Practice Telephone | 7152558551 |
| Mailing Telephone | 7157433101 |
| Mailing Fax Number | 7157436245 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | SCOTT POLENZ (ADMINISTRATOR) |
| Authorized Official Telephone | 7157433101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43051600 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782096 | Memorial Hospital, Inc. | Home Health | 705 C Street, Ceredo, WV 25507 | 2006-07-17 |
| 1891720348 | Memorial Hospital, Inc. | Home Health | 155 E 2nd Ave, Williamson, WV 25661-3601 | 2006-07-12 |
| 1902839293 | Memorial Hospital, Inc. | Home Health | 149 Health Care Ln, Jellico, TN 37762-4433 | 2006-07-09 |
| 1457999476 | Memorial Hospital, Inc. | Clinic/Center | 102 W Cannery St, Greenwood, WI 54437-9705 | 2019-12-20 |
| 1760020838 | Memorial Hospital, Inc. | Clinic/Center | 212800 Stainless Ave, Stratford, WI 54484-4325 | 2019-12-19 |
| 1780222844 | Memorial Hospital, Inc. | Clinic/Center | 111 Dehne Dr, Colby, WI 54421-9581 | 2019-12-19 |
| 1881112134 | Memorial Hospital, Inc. | Clinic/Center | 145 Orchard St, Oneida, KY 40972 | 2017-09-07 |
| 1902208267 | Memorial Hospital, Inc. | Pediatrics | 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 | 2014-09-18 |
| 1962803460 | Memorial Hospital, Inc. | Clinic/Center | 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 | 2014-09-16 |
| 1598166092 | Memorial Hospital, Inc. | Family Medicine | 515 Memorial Dr, Manchester, KY 40962-9157 | 2014-09-16 |
| Street Address |
502 E ELM DR |
| City | LOYAL |
| State | WI |
| Zip Code | 54446-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270962 | Memorial Hospital Inc | Non-Pharmacy Dispensing Site | 502 E Elm Dr, Loyal, WI 54446-9604 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134300882 | Loyal School District | Local Education Agency (LEA) | 514 Central Street, Loyal, WI 54446 | 2007-11-23 |
| 1720164676 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 141 N. Main St., Loyal, WI 54446 | 2006-10-31 |
| 1407921299 | Irvin A Drach, II | Chiropractor | 217 N Mainst, Loyal, WI 54446-0005 | 2006-11-21 |
| 1417074840 | Loyal Unified Fire & Ambulance Service Inc | Ambulance | W4325 State Highway 98, Loyal, WI 54446-8534 | 2007-03-22 |
| 1285924134 | Kim Joyce Loos | Licensed Practical Nurse | W3489 153 Rd, Loyal, WI 54446-8949 | 2011-04-12 |
| 1700209657 | Anita Scofield | Registered Nurse | 508 W South St, Loyal, WI 54446-9509 | 2014-01-29 |
| 1902454580 | Rose Mondloch | Technician | N8603 Sandhill Ave, Loyal, WI 54446-9561 | 2019-08-28 |
| 1437550712 | Jessica Koopman | Registered Nurse | 414 N Division St, Loyal, WI 54446-9757 | 2014-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454580 | Rose Mondloch | Technician | N8603 Sandhill Ave, Loyal, WI 54446-9561 | 2019-08-28 |
| 1972993210 | Jon Ralph Cochran Jr. | Social Worker | 210 Crist Ave., Loyal, OK 73756-0033 | 2015-01-26 |
| 1437550712 | Jessica Koopman | Registered Nurse | 414 N Division St, Loyal, WI 54446-9757 | 2014-09-05 |
| 1700209657 | Anita Scofield | Registered Nurse | 508 W South St, Loyal, WI 54446-9509 | 2014-01-29 |
| 1285924134 | Kim Joyce Loos | Licensed Practical Nurse | W3489 153 Rd, Loyal, WI 54446-8949 | 2011-04-12 |
| 1134300882 | Loyal School District | Local Education Agency (LEA) | 514 Central Street, Loyal, WI 54446 | 2007-11-23 |
| 1417074840 | Loyal Unified Fire & Ambulance Service Inc | Ambulance | W4325 State Highway 98, Loyal, WI 54446-8534 | 2007-03-22 |
| 1639205131 | Lomega School | Public Health or Welfare | Rt 1 Box 1, Lomega Elementary School, Loyal, OK 73756 | 2007-02-26 |
| 1407921299 | Irvin A Drach, II | Chiropractor | 217 N Mainst, Loyal, WI 54446-0005 | 2006-11-21 |
| 1720164676 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 141 N. Main St., Loyal, WI 54446 | 2006-10-31 |
| Find all providers in LOYAL | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| 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.