TRI-COUNTY MEMORIAL HOSPITAL, INC. (NPI# 1417201864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417201864 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY MEMORIAL HOSPITAL, INC. |
| Practice Address |
18606 Ervin St Whitehall WI 54773-8613 |
| Mailing Address |
18601 Lincoln St Whitehall WI 54773-8605 |
| Practice Telephone | 7155384355 |
| Practice Fax Number | 7155382151 |
| Mailing Telephone | 7155384361 |
| Mailing Fax Number | 7155382271 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2018-11-03 |
| Authorized Official Name | ROXANE KAY SCHLEICH (CFO, REGIONAL) |
| Authorized Official Telephone | 6087753839 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-COUNTY MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gundersen Tri-County Hospital and Clinics- Whitehall | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285988733 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2012-11-06 |
| 1659625192 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 420 S Peterson Ave, Blair, WI 54616-8861 | 2012-11-06 |
| 1801086483 | Tri-county Memorial Hospital, Inc. | Skilled Nursing Facility | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2007-07-30 |
| 1124063573 | Tri-county Memorial Hospital, Inc. | General Acute Care Hospital | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2006-06-19 |
| Street Address |
18606 ERVIN ST |
| City | WHITEHALL |
| State | WI |
| Zip Code | 54773-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496796 | Joanne A Martin | Pediatrics | 18606 Ervin St, Whitehall, WI 54773-8613 | 2005-06-09 |
| 1114438348 | Tanya Mudgett | Nurse Practitioner | 18606 Ervin St, Whitehall, WI 54773-8613 | 2017-10-16 |
| 1669857678 | Ashley Stehl | Optometrist | 18606 Ervin St, Whitehall, WI 54773-8613 | 2015-07-21 |
| 1033525860 | Brian S Vike | Physician Assistant | 18606 Ervin St, Whitehall, WI 54773-8613 | 2014-07-01 |
| 1255614681 | Megan Klomps-mcclung | Family Medicine | 18606 Ervin St, Whitehall, WI 54773-8613 | 2011-09-22 |
| 1851687891 | Natasha Rae Minnaert | Family Medicine | 18606 Ervin St, Whitehall, WI 54773-8613 | 2011-06-28 |
| 1972893071 | Kimberly Breidenbach | Family Medicine | 18606 Ervin St, Whitehall, WI 54773-8613 | 2011-04-11 |
| 1801033527 | Jodene M R Ekker | Nurse Practitioner | 18606 Ervin St, Whitehall, WI 54773-8613 | 2009-01-16 |
| 1215976352 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 18606 Ervin St, Whitehall, WI 54773-8613 | 2006-06-05 |
| 1609828151 | Gundersen Clinic, Ltd. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 1184878324 | Trempealeau County Health Dept. | Public Health or Welfare | 36245 Main St., Whitehall, WI 54773 | 2008-11-14 |
| 1548434822 | Whitehall School District | Local Education Agency (LEA) | 19121 Hobson Street, Whitehall, WI 54773 | 2008-04-17 |
| 1972724136 | Kimberley Lenning | Counselor | W20209 State Road 121, Whitehall, WI 54773 | 2007-05-02 |
| 1508033184 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1689841264 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1992972905 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-09 |
| 1396741823 | Angela E House | Physician Assistant | 18601 Lincoln St, Whitehall, WI 54773 | 2005-06-21 |
| 1578568051 | Belinda C Hickey | Nurse Anesthetist, Certified Registered | 18601 Lincoln St, Whitehall, WI 54773 | 2005-06-20 |
| 1316095409 | Jeffrey J. Matthews | Dentist | 36220 Tower Dr, Whitehall, WI 54773-0005 | 2007-01-08 |
| Find all providers in zip 54773 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326463357 | Mercy Health Partners | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-02-27 |
| 1619128873 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-10-07 |
| 1609828151 | Gundersen Clinic, Ltd. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2006-05-16 |
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| 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.