VERNON MEMORIAL HEALTHCARE, INC. (NPI# 1750387221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750387221 |
| Entity Type | Organization |
| Organization Name | VERNON MEMORIAL HEALTHCARE, INC. |
| Other Organization Name | LA FARGE MEDICAL CLINIC - VMH |
| Practice Address |
206 North Mill Street La Farge WI 54639-6601 |
| Practice Telephone | 6086252494 |
| Practice Fax Number | 6086385011 |
| Mailing Telephone | 6086252494 |
| Mailing Fax Number | 6086385011 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-01-09 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| La Farge Medical Clinic - VMH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295708204 | Vernon Memorial Healthcare, Inc. | Home Health | 705 Arena Dr, Viroqua, WI 54665-2059 | 2006-02-09 |
| 1619969490 | Vernon Memorial Healthcare, Inc. | Pharmacist | 104 Sunset Ave, Soldiers Grove, WI 54655-7523 | 2005-08-18 |
| 1215933767 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 100 Melby St, Westby, WI 54667-1012 | 2005-06-21 |
| 1376549824 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2005-06-21 |
| 1164752648 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2010-01-06 |
| 1467425488 | Vernon Memorial Healthcare, Inc. | Hospice Care, Community Based | 705 Arena Dr, Viroqua, WI 54665-2059 | 2006-02-09 |
| 1992701031 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2005-06-23 |
| 1497750921 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2005-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VERNON MEMORIAL HEALTHCARE, INC. | 507 S Main St, Viroqua, WI 54665-2059 |
| Street Address |
206 NORTH MILL STREET |
| City | LA FARGE |
| State | WI |
| Zip Code | 54639-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538451109 | Taryn A Lawler | Family Medicine | 206 North Mill Street, La Farge, WI 54639-6601 | 2011-05-13 |
| 1679559298 | Shawn Thomas Sedgwick | Family Medicine | 206 North Mill Street, La Farge, WI 54639-6601 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063694313 | Daniel Patrick Drier | Pharmacist | 206 N. Mill St., La Farge, WI 54639 | 2007-11-28 |
| 1518352921 | Vernon Memorial Healthcare Inc | Pharmacy | 206 N. Mill St., Lafarge, WI 54639 | 2015-04-02 |
| 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 |
| 1730617069 | Julie Ann Everson | Nurse Practitioner | 206 N Mill St, La Farge, WI 54639-6601 | 2017-05-31 |
| 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 |
| 1003088824 | School District of La Farge | Local Education Agency (LEA) | 301 W Adams St, La Farge, WI 54639-7936 | 2008-04-01 |
| Find all providers in zip 54639 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 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.