MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC. (NPI# 1861829194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861829194 |
| Entity Type | Organization |
| Organization Name | MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC. |
| Other Organization Name | GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS, INC. |
| Practice Address |
207 N Pioneer Park Rd Unit 8 Westfield WI 53964-9092 |
| Mailing Address |
402 W Lake St Po Box 40 Friendship WI 53934-9699 |
| Practice Telephone | 6082966350 |
| Mailing Telephone | 6083393331 |
| Mailing Fax Number | 6083399385 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | MR. FRANK PEREZ-GUERRA (CEO) |
| Authorized Official Telephone | 6083396814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 107800 | WI | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gundersen Moundview Hospital and Clinics, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962560334 | Moundview Memorial Hospital & Clinics, Inc. | Clinic/Center | 402 W. Lake St., Friendship, WI 53934 | 2006-12-05 |
| 1720147366 | Moundview Memorial Hospital & Clinics, Inc. | Medicare Defined Swing Bed Unit | 402 W Lake St, Friendship, WI 53934-9699 | 2006-12-08 |
| Street Address |
207 N PIONEER PARK RD UNIT 8 |
| City | WESTFIELD |
| State | WI |
| Zip Code | 53964-9092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1184007650 | Elizabeth Gust | Physical Therapist | 211 N Pioneer Park Rd, Westfield, WI 53964 | 2015-07-02 |
| 1215075296 | Northland Community Services Inc | Clinic/Center | 161 Spring St, Westfield, WI 53964 | 2007-02-02 |
| 1437203023 | Annette Faith Gouker | Chiropractor | 128 East 2nd Street, Westfield, WI 53964 | 2007-01-22 |
| 1053465708 | Terry Ann Pace | Chiropractor | 128 East 2nd Street, Westfield, WI 53964-0095 | 2007-01-22 |
| 1245378660 | Pace Chiropractic Office Sc | Chiropractor | 128 East 2nd Street, Westfield, WI 53964-0095 | 2007-02-01 |
| 1295843951 | Robert E Crawford | Dentist | 120 E 2nd Street, Westfield, WI 53964-0220 | 2006-08-25 |
| 1902970205 | Bentley Pharmacies Inc | Pharmacy | 206 S Main St, Westfield, WI 53964-7506 | 2006-11-20 |
| 1376737783 | Westfield School District | Local Education Agency (LEA) | N7046 Cty Rd Ch, Westfield, WI 53964-8066 | 2007-08-29 |
| 1073067013 | Interra Health Inc. | Clinic/Center | N4993 6th Dr, Westfield, WI 53964-8200 | 2016-08-08 |
| Find all providers in zip 53964 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1861564106 | Charles Cole Memorial Hospital | Clinic/Center | 222 Church Street, Westfield, PA 16950 | 2006-11-14 |
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| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 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.