MEMORIAL HOSPITAL OF BOSCOBEL (NPI# 1871796052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871796052 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL OF BOSCOBEL |
| Other Organization Name | BOSCOBEL AREA HEALTH CARE |
| Practice Address |
200 W Bluff St Boscobel WI 53805-1601 |
| Mailing Address |
205 Parker St Boscobel WI 53805-1642 |
| Practice Telephone | 6083752424 |
| Practice Fax Number | 6083756285 |
| Mailing Telephone | 6083756217 |
| Mailing Fax Number | 6083755463 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | THERESA BRAUDT (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 6083756203 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL OF BOSCOBEL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43061800 | 05 | |
| WI | 21315200 | 05 |
| Other Name | Type Code |
|---|---|
| Boscobel Area Health Care | 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 |
| 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 |
| 1760459846 | Memorial Hospital of Boscobel | General Acute Care Hospital | 205 Parker St, Boscobel, WI 53805-1642 | 2006-03-07 |
| Street Address |
200 W BLUFF ST |
| City | BOSCOBEL |
| State | WI |
| Zip Code | 53805-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164487856 | Richard A Graf | Urology | 200 W Bluff St, Boscobel, WI 53805 | 2006-04-18 |
| 1467640276 | Memorial Hospital of Boscobel | Durable Medical Equipment & Medical Supplies | 200 W Bluff St, Boscobel, WI 53805-1601 | 2007-10-05 |
| 1760490262 | Thomas G Pelz | Internal Medicine | 200 W Bluff St, Boscobel, WI 53805-1601 | 2006-08-03 |
| 1548210230 | Judith C Lyness | Nurse Practitioner | 200 W Bluff St, Boscobel, WI 53805-1601 | 2006-05-11 |
| 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 |
| 1932136181 | Marija Zakarija | Emergency Medicine | 205 Parker St, Boscobel, WI 53805 | 2006-06-26 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.