TOMAH MEMORIAL HOSPITAL INC


Address: 601 Straw St, Tomah, WI 54660-1173
Phone: 6083722181

TOMAH MEMORIAL HOSPITAL INC (NPI# 1588706329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588706329
Entity Type Organization
Organization Name TOMAH MEMORIAL HOSPITAL INC
Other Organization Name HOSPICE TOUCH
Practice Address 601 Straw St
Tomah
WI 54660-1173
Mailing Address 501 Gopher Dr
Tomah
WI 54660-4513
Practice Telephone 6083722181
Practice Fax Number 6083740256
Mailing Telephone 6083722181
Enumeration Date 2007-02-12
Last Update Date 2020-09-04
Authorized Official Name MR. PHILIP J STUART (CEO)
Authorized Official Telephone 6083722181
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 531 WI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WI 43184600 05

Other Provider/Organization Names

Other Name Type Code
Hospice Touch Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184765240 Tomah Memorial Hospital Inc General Acute Care Hospital 501 Gopher Dr, Tomah, WI 54660-4513 2007-02-10
1356824551 Tomah Memorial Hospital Inc Clinical Medical Laboratory 501 Gopher Dr, Tomah, WI 54660-4513 2018-09-13
1992970453 Tomah Memorial Hospital Inc Emergency Medicine 501 Gopher Dr, Tomah, WI 54660-4513 2008-04-25
1205978046 Tomah Memorial Hospital Inc Medicare Defined Swing Bed Unit 501 Gopher Dr, Tomah, WI 54660-4513 2007-02-12

Office Location

Street Address 601 STRAW ST
City TOMAH
State WI
Zip Code 54660-1173

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1346320058 Eugenia S Durst Nurse Practitioner 500 East Veterans St, Tomah, WI 54660 2006-10-17
1962596536 Angela Kay Fuller Nurse Practitioner 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 2006-10-03
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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1871052944 Kenya Pratt Hospice Care, Community Based 5510 N 33rd St, Milwaukee, WI 53209-4834 2019-03-18
1518432749 Brighton Hospice Wisconsin Hospice Care, Community Based 300 N Executive Dr Ste 110, Brookfield, WI 53005-6016 2018-10-03
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Competitor

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City TOMAH
Zip Code 54660

Improve Information

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Dataset Information

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.

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