MEMORIAL HOSPITAL OF BOSCOBEL (NPI# 1760459846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760459846 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL OF BOSCOBEL |
| Other Organization Name | GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS |
| Practice Address |
205 Parker St Boscobel WI 53805-1642 |
| Practice Telephone | 6083754112 |
| Practice Fax Number | 6083755463 |
| Mailing Telephone | 6083754112 |
| Mailing Fax Number | 6083755463 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | MELISSA USELMAN (CFO) |
| Authorized Official Telephone | 6083756228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11015210 | 05 |
| Other Name | Type Code |
|---|---|
| Gundersen Boscobel Area Hospital and Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932396744 | Memorial Hospital of Boscobel | Durable Medical Equipment & Medical Supplies | 525 N Wisconsin Ave, Muscoda, WI 53573-9251 | 2007-09-26 |
| 1245513936 | Memorial Hospital of Boscobel | Non-Pharmacy Dispensing Site | 205 Parker St, Boscobel, WI 53805-1642 | 2011-09-20 |
| 1437448891 | Memorial Hospital of Boscobel | Clinic/Center | 220 Lincoln Ave, Fennimore, WI 53809-1036 | 2011-04-06 |
| 1255620613 | Memorial Hospital of Boscobel | Clinic/Center | 525 N Wisconsin Ave, Muscoda, WI 53573-9251 | 2011-04-06 |
| 1386819985 | Memorial Hospital of Boscobel | Clinical Medical Laboratory | 205 Parker St, Boscobel, WI 53805-1642 | 2008-04-24 |
| 1467640276 | Memorial Hospital of Boscobel | Durable Medical Equipment & Medical Supplies | 200 W Bluff St, Boscobel, WI 53805-1601 | 2007-10-05 |
| 1215124029 | Memorial Hospital of Boscobel | Durable Medical Equipment & Medical Supplies | 220 Lincoln Ave, Fennimore, WI 53809-1030 | 2007-09-26 |
| 1871796052 | Memorial Hospital of Boscobel | Clinic/Center | 200 W Bluff St, Boscobel, WI 53805-1601 | 2007-06-06 |
| 1306804794 | Memorial Hospital of Boscobel | General Acute Care Hospital | 205 Parker St, Boscobel, WI 53805-1642 | 2006-05-03 |
| 1497712624 | Memorial Hospital of Boscobel | Medicare Defined Swing Bed Unit | 205 Parker St, Boscobel, WI 53805-1642 | 2006-05-01 |
| Street Address |
205 PARKER ST |
| City | BOSCOBEL |
| State | WI |
| Zip Code | 53805-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119064 | Nelly Y Amador | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2006-01-25 |
| 1356900021 | Lauren Vincent | Occupational Therapist | 205 Parker St, Boscobel, WI 53805-1642 | 2019-06-06 |
| 1295291052 | Halie Ruff | Nurse Practitioner | 205 Parker St, Boscobel, WI 53805-1642 | 2019-02-18 |
| 1760938138 | Jonathan R Demory | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-08-26 |
| 1720532534 | Ashley Strasser | Physical Therapist | 205 Parker St, Boscobel, WI 53805-1642 | 2016-08-09 |
| 1982055745 | Casey M Totten | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-06-23 |
| 1639531106 | Joshua D Tessner | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-03-24 |
| 1194131813 | Eli M Burks | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2014-07-02 |
| 1104230218 | Ameen Taleb | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2014-06-17 |
| 1356754238 | Colleen L Mccurry | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746450 | Boscobel Family Dental, LLC | Dentist | 105 E. Bluff Street, Boscobel, WI 53805 | 2016-09-01 |
| 1063821890 | Rebecca Augustine | Pharmacist | 1028 Wisconsin Ave., Boscobel, WI 53805 | 2014-08-06 |
| 1164487856 | Richard A Graf | Urology | 200 W Bluff St, Boscobel, WI 53805 | 2006-04-18 |
| 1386727972 | Dr Michael S Mecikalski Sc | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2006-10-24 |
| 1770873440 | Michael S. Mecikalski | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2011-04-14 |
| 1821458852 | Tammy Shepherd | Licensed Practical Nurse | 501 Chestnut St, Boscobel, WI 53805-1130 | 2016-03-03 |
| 1144382011 | Burton Dale Cox Jr. | Family Medicine | 1101 Morrison Dr, Hsu, Boscobel, WI 53805-1180 | 2006-12-15 |
| 1013490101 | Rebecca Miller LLC | Counselor | 406 Elm St, Boscobel, WI 53805-1216 | 2018-09-13 |
| 1306323803 | Ashley Hady, LLC | Community/Behavioral Health | 406 Elm St, Boscobel, WI 53805-1216 | 2018-07-26 |
| 1720470354 | Rebecca Miller | Counselor | 406 Elm St, Boscobel, WI 53805-1216 | 2015-02-18 |
| Find all providers in zip 53805 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194990796 | Memorial Hospital Pharmacy | General Acute Care Hospital | 205 Parker St, Boscobel, WI 53805-1642 | 2008-04-24 |
| 1306804794 | Memorial Hospital of Boscobel | General Acute Care Hospital | 205 Parker St, Boscobel, WI 53805-1642 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1255662573 | Donald Morris Levy | General Acute Care Hospital | 4348 W Tarrytown Ln, Mequon, WI 53092-4850 | 2010-01-26 |
| 1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
| 1104953090 | New Anesthesia | General Acute Care Hospital | 1236 Stillmeadow Ln, Menasha, WI 54952-8920 | 2007-02-27 |
| 1184765240 | Tomah Memorial Hospital Inc | General Acute Care Hospital | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-10 |
| 1194737817 | Chippewa Valley Hospital & Oakview Care Center, Inc. | General Acute Care Hospital | 1220 3rd Ave W, Durand, WI 54736-1600 | 2006-08-12 |
| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1881640183 | Westfields Hospital, Inc. | General Acute Care Hospital | 535 Hospital Road, New Richmond, WI 54017-1449 | 2006-05-26 |
| 1053362624 | Ripon Medical Center Inc | General Acute Care Hospital | 845 Parkside Street, Ripon, WI 54971-8505 | 2006-05-16 |
| 1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL OF BOSCOBEL.
| 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.