<Unavail>

LBN: Memorial Hospital, Inc.
<Unavail> is an health care organization with primary practice located at 216 Sunset Place Memorial Medical Center Health & Rehabilitation, Neillsville WI 54456. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Memorial Hospital, Inc. can be contacted via phone (715) 743-3101, or through Polenz, Scott via phone (715) 743-3101.

Contact Information

Primary practice address
216 Sunset Place Memorial Medical Center Health & Rehabilitation Neillsville WI 54456
Phone: (715) 743-3101
Fax: (715) 743-6245
Website:
Map and Directions
Authorized official contact:
Name: Polenz, Scott
Phone: (715) 743-3101

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1992780464
LBN Legal business name Memorial Hospital, Inc.
DBA Doing business as <Unavail>
Authorized official Polenz, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2005
Last updated May 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992780464 NPPES
Wisconsin MEDICAID 20128600

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