PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC (NPI# 1760808968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760808968 |
| Entity Type | Organization |
| Organization Name | PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC |
| Practice Address |
1800 Bronson Blvd Fennimore WI 53809-9778 |
| Practice Telephone | 6088222940 |
| Practice Fax Number | 6088222949 |
| Mailing Telephone | 6088222940 |
| Mailing Fax Number | 6083572254 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | MR. CHRIS BROPHY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6083572000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | HSAT-7QXLRW | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1619024197 | 05 | |
| IA | 1619024197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659709830 | Prairie Du Chien Memorial Hospital Assoc Inc | Family Medicine | 37822 Us Hwy 18, Prairie Du Chien, WI 53821-8416 | 2013-10-24 |
| 1043619109 | Prairie Du Chien Memorial Hospital Assoc Inc | Nurse Practitioner | 37822 Us Hwy 18, Prairie Du Chien, WI 53821-8416 | 2014-08-14 |
| 1942547344 | Prairie Du Chien Memorial Hospital Assoc Inc | Specialist | 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 | 2013-01-07 |
| 1477605848 | Prairie Du Chien Memorial Hospital Assoc Inc | General Acute Care Hospital | 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 | 2007-01-17 |
| Street Address |
1800 BRONSON BLVD |
| City | FENNIMORE |
| State | WI |
| Zip Code | 53809-9778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518164557 | Brian A Quick | Physician Assistant | 1800 Bronson Blvd, Fennimore, WI 53809-9778 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367545 | Fennimore Dental, LLC | Dentist | 220 Lincoln Avenue, Fennimore, WI 53809 | 2018-12-06 |
| 1003094301 | Heather R Wolf | Licensed Practical Nurse | 1470 12th Street, Fennimore, WI 53809 | 2008-02-08 |
| 1124103080 | Diane L Cavadini | Registered Nurse | 2409 Hwy Q, Fennimore, WI 53809 | 2006-10-26 |
| 1225085483 | Fennimore Rural Fire Department Rescue Squad | Emergency Medical Technician, Basic | 1070 8th Street, Fennimore, WI 53809 | 2006-05-30 |
| 1164955563 | Jacqueline Hanson | Pharmacist | 1120 Lincoln Ave, Fennimore, WI 53809 | 2017-04-04 |
| 1093254070 | Mckenzie Croft | Licensed Practical Nurse | 13554 Switzer Rd, Fennimore, WI 53809 | 2017-02-23 |
| 1609096833 | Richard Merwin Lofthouse Sr. | Dentist | 220 Lincoln Ave, Fennimore, WI 53809 | 2007-04-30 |
| 1336483726 | Lori Lynn Kartman | Licensed Practical Nurse | 1509 2nd St, Fennimore, WI 53809-1004 | 2012-11-26 |
| 1588635239 | Eulogio G Aguilar | Emergency Medicine | 220 Lincoln Ave, Fennimore, WI 53809-1030 | 2006-01-31 |
| 1215124029 | Memorial Hospital of Boscobel | Durable Medical Equipment & Medical Supplies | 220 Lincoln Ave, Fennimore, WI 53809-1030 | 2007-09-26 |
| Find all providers in zip 53809 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285826313 | High Point Family Medicine, LLC | Family Medicine | 1255 11th St, Fennimore, WI 53809-1424 | 2007-08-13 |
| 1992934517 | David P. Hubbard | Family Medicine | 220 Lincoln Ave, Fennimore, WI 53809-1036 | 2009-07-02 |
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| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
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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.