MEMORIAL HOSPITAL INC (NPI# 1821472986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821472986 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL INC |
| Other Organization Name | MEMORIAL MEDICAL CENTER |
| Practice Address |
216 Sunset Pl Neillsville WI 54456-1706 |
| Practice Telephone | 7157433101 |
| Practice Fax Number | 7157438022 |
| Mailing Telephone | 7157433101 |
| Mailing Fax Number | 7157438022 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | RYAN T NEVILLE (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 | 38577 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11010500 | 05 | |
| WI | 11010510 | 05 | |
| WI | 32763200 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1194744664 | Memorial Hospital Inc | Supports Brokerage | 94 Marie Langdon Dr Ste 6, Manchester, KY 40962-6345 | 2006-07-18 |
| 1477184968 | Memorial Hospital Inc | Clinic/Center | 515 Memorial Dr Ste 2, Manchester, KY 40962-9157 | 2020-02-03 |
| 1801270962 | Memorial Hospital Inc | Non-Pharmacy Dispensing Site | 502 E Elm Dr, Loyal, WI 54446-9604 | 2015-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEMORIAL HOSPITAL INCORPORATED | L.b. & B. Building, Waynesboro, Virginia 22980 |
| Street Address |
216 SUNSET PL |
| City | NEILLSVILLE |
| State | WI |
| Zip Code | 54456-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431843 | Donald George Hayward | Physician Assistant | 216 Sunset Pl, Memorial Medical Center, Neillsville, WI 54456-1706 | 2005-10-18 |
| 1699398628 | Kimberly L Henry | Occupational Therapy Assistant | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2020-05-26 |
| 1588299044 | Emily Ann Coates | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2020-03-05 |
| 1972142925 | Amanda Christine Malyuk | Nurse Practitioner | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-12-22 |
| 1518527134 | Taryn Loos | Physical Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-06-17 |
| 1093374084 | Jordyn Dean Pieper | Family Medicine | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-06-12 |
| 1003365958 | Kathryn Pittz | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2016-10-03 |
| 1437608304 | Benjamin Mohr | Dietitian, Registered | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2016-10-03 |
| 1720478159 | Barry Jakel | Physical Therapy Assistant | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2015-01-22 |
| 1285041921 | Michael Doersch | Specialist/Technologist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504840 | Wendy Langreck | Physical Therapy Assistant | N4036 Marg Ave, Neillsville, WI 54456 | 2017-05-08 |
| 1023442084 | Kayla E Martin | Physical Therapist | Marshfield Medical Center- Neillsville, 216 Sunset Place, Neillsville, WI 54456 | 2013-08-27 |
| 1942553136 | Nicole Renee Symons | Occupational Therapy Assistant | 316 Sunset Pl, Neillsville, WI 54456 | 2012-10-25 |
| 1679883433 | Sandra Lee Back | Registered Nurse | 1402 Hewett St, Neillsville, WI 54456 | 2010-10-14 |
| 1497967301 | Abby Vans Inc. | Non-emergency Medical Transport (VAN) | W5621 Todd Road, Neillsville, WI 54456 | 2007-05-04 |
| 1487637823 | Linda L Kyser | Dietitian, Registered | 216 Sunset Place, Memorial Medical Center Memorial Hospital Inc, Nellsville, WI 54456 | 2005-11-21 |
| 1013017938 | Louis A Benoist | Orthopaedic Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-09-22 |
| 1114955275 | Constante S. Avecilla | Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-06-29 |
| 1992780464 | Memorial Hospital, Inc. | Skilled Nursing Facility | 216 Sunset Place, Memorial Medical Center Health & Rehabilitation, Neillsville, WI 54456 | 2005-12-07 |
| 1295877363 | John Scaletta D.d.s.ltd. | Dentist | 808 West Fifth St., Neillsville, WI 54456-0067 | 2007-02-13 |
| Find all providers in zip 54456 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | NEILLSVILLE |
| Zip Code | 54456 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL INC.
| 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.