FORT MEMORIAL HOSPITAL (NPI# 1619026044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619026044 |
| Entity Type | Organization |
| Organization Name | FORT MEMORIAL HOSPITAL |
| Practice Address |
426 Mcmillen St Fort Atkinson WI 53538-1996 |
| Practice Telephone | 9205639357 |
| Practice Fax Number | 9205686543 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIM MCCREA (DIRECTOR) |
| Authorized Official Telephone | 9205639357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 44 | WI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376680330 | Fort Memorial Hospital | Non-Pharmacy Dispensing Site | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-31 |
| Street Address |
426 MCMILLEN ST |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793392 | Stanley E Peterson | Orthopaedic Surgery | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2005-10-10 |
| 1902129513 | Tanya Lynn Geiger | Physical Therapist | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2010-03-10 |
| 1942437330 | Fort Healthcare, Inc. | Surgery | 426 Mcmillen St, Ste G, Fort Atkinson, WI 53538-1996 | 2009-06-12 |
| 1407068091 | Lisa Marie Koehler | Occupational Therapy Assistant | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2007-05-04 |
| 1932119591 | Fort Healthcare, Inc. | Surgery | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-08-08 |
| 1578587598 | C. Sue Conley | Dermatology | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-07-26 |
| 1295759306 | Edwin D Fischer | Family Medicine | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-07-26 |
| 1447271572 | Edward S Kapustka | Urology | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-07-22 |
| 1760402150 | Tracy Paul Wilde | Physical Therapist | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-07-20 |
| 1265452361 | Kelly Whalen Brunson | Occupational Therapist | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811916281 | Fort Healthcare, Inc. | General Acute Care Hospital | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
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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.