VERNON MEMORIAL HEALTHCARE INC (NPI# 1518352921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518352921 |
| Entity Type | Organization |
| Organization Name | VERNON MEMORIAL HEALTHCARE INC |
| Practice Address |
206 N. Mill St. Lafarge WI 54639 |
| Mailing Address |
407 S Main St Ste 104 Viroqua WI 54665-4004 |
| Practice Telephone | 6086252552 |
| Practice Fax Number | 6086252553 |
| Mailing Telephone | 6086374718 |
| Mailing Fax Number | 6086374719 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | DAVID HARTBERG (CEO) |
| Authorized Official Telephone | 6086374796 |
| Is Organization Subpart | Y |
| Parent Organization Name | VERNON MEMORIAL HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9310-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100044373 | 05 | |
| PK | 2151111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447427505 | Vernon Memorial Healthcare Inc | Pharmacy | 115 W State St, Westby, WI 54667-1254 | 2008-05-08 |
| 1558300632 | Vernon Memorial Healthcare Inc | Pharmacy | 407 S Main St, Suite 104, Viroqua, WI 54665-2100 | 2006-06-05 |
| Street Address |
206 N. MILL ST. |
| City | LAFARGE |
| State | WI |
| Zip Code | 54639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760534648 | Village of Lafarge | Ambulance | 201 S Cherry St, La Farge, WI 54639 | 2007-01-18 |
| 1316108905 | Rose Marie Wels | Dentist | 111 W Snow Street, La Farge, WI 54639-0098 | 2008-06-17 |
| 1669730644 | Rebecca D Pfaff | Family Medicine | 206 N. Mill Street, La Farge, WI 54639-6601 | 2012-04-27 |
| 1760425193 | Tamsen W Morgan | Physician Assistant | 206 N Mill St, La Farge, WI 54639-6601 | 2006-06-14 |
| 1750387221 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 206 North Mill Street, La Farge, WI 54639-6601 | 2005-06-21 |
| 1730617069 | Julie Ann Everson | Nurse Practitioner | 206 N Mill St, La Farge, WI 54639-6601 | 2017-05-31 |
| 1538451109 | Taryn A Lawler | Family Medicine | 206 North Mill Street, La Farge, WI 54639-6601 | 2011-05-13 |
| 1871537134 | Kelly M Scheder | Nurse Practitioner | 206 N Mill St, La Farge, WI 54639-6601 | 2006-06-16 |
| 1396789186 | James M Deline | Family Medicine | 206 N Mill St, La Farge, WI 54639-6601 | 2006-06-15 |
| 1679559298 | Shawn Thomas Sedgwick | Family Medicine | 206 North Mill Street, La Farge, WI 54639-6601 | 2005-12-15 |
| Find all providers in zip 54639 | ||||
| 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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| 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.