MEMORIAL HOSPITAL INC. (NPI# 1710361878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710361878 |
Entity Type | Organization |
Organization Name | MEMORIAL HOSPITAL INC. |
Other Organization Name | MEMORIAL MEDICAL CENTER-GREENWOOD |
Practice Address |
201 S Main St Greenwood WI 54437-9733 |
Mailing Address |
216 Sunset Pl Neillsville WI 54456-1706 |
Practice Telephone | 7152673200 |
Practice Fax Number | 7152673201 |
Mailing Telephone | 7157433101 |
Mailing Fax Number | 7157438022 |
Enumeration Date | 2015-07-17 |
Last Update Date | 2016-05-12 |
Authorized Official Name | RYAN T NEVILL (CEO) |
Authorized Official Telephone | 7157438449 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | 5521-33 | WI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43051900 | 05 |
Other Name | Type Code |
---|---|
Memorial Medical Center-Greenwood | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255471827 | Memorial Hospital Inc. | Pediatrics | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2007-02-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | MEMORIAL HOSPITAL INCORPORATED | L.b. & B. Building, Waynesboro, Virginia 22980 |
Street Address |
201 S MAIN ST |
City | GREENWOOD |
State | WI |
Zip Code | 54437-9733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679562755 | Jess Walter Johnson | Physician Assistant | 201 S Main St, Memorial Medical Center/greenwood Clinic, Greenwood, WI 54437-9733 | 2005-10-20 |
1659360097 | Memorial Hospital, Inc. | Clinic/Center | 201 S Main St, Memorial Medical Center, Greenwood, WI 54437-9733 | 2005-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497833966 | Sport & Spine Clinic Lp | Clinic/Center | 133 South Main Street, Greenwood, WI 54437 | 2006-11-01 |
1467538306 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 102 W. Cannery St., Greenwood, WI 54437 | 2006-10-31 |
1437264900 | Scott A Brown | Physician Assistant | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
1063527539 | Gary J Janssen | Family Medicine | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
1003032731 | Eugene Dale Martin | Chiropractor | 134 S Main St, Greenwood, WI 54437-0214 | 2007-04-18 |
1437109113 | Lena Marie Abrahamson | Physical Therapist | 133 S Main St, Sport and Spine Clinic, Greenwood, WI 54437-0297 | 2006-05-11 |
1912133307 | Amanda Ruff | Registered Nurse | W5574 Lovers Rd, Greenwood, WI 54437-8316 | 2009-05-31 |
1497760359 | Dorothy Jean Roback | Nurse Practitioner | W5682 Lovers Rd, Greenwood, WI 54437-8317 | 2006-07-29 |
1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
1831676360 | Callie Mae Horstman | Chiropractor | 124 N Main St, Greenwood, WI 54437-9419 | 2018-07-27 |
Find all providers in zip 54437 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477188100 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Non-Pharmacy Dispensing Site | 635 S 28th St, Milwaukee, WI 53215-1201 | 2020-03-03 |
1841845385 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 223 South Main St., Blair, WI 54616 | 2019-08-01 |
1982258737 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 919 Hoeschler Dr Ste 100, Sparta, WI 54656-2202 | 2019-07-30 |
1780142992 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 11040 N Range Line Rd, Mequon, WI 53092-4930 | 2019-03-06 |
1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
1205355500 | Froedtert Health | Non-Pharmacy Dispensing Site | 4850 S 60th St, Greenfield, WI 53220-4616 | 2017-09-18 |
1790071637 | St Mary's Hospital Medical Center | Non-Pharmacy Dispensing Site | 2840 Okeeffe Ave, Sun Prairie, WI 53590-7077 | 2011-06-20 |
1629390729 | Jt Medical Services, Inc. | Non-Pharmacy Dispensing Site | 12855 West Lisbon Road, 2nd Floor, Brookfield, WI 53005 | 2010-02-17 |
1013243294 | Barron County Office On Aging | Non-Pharmacy Dispensing Site | 335 E. Monroe Avenue, Room 112, Barron, WI 54812-1478 | 2009-10-23 |
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.