Organization Name: | OUR LADY OF VICTORY HOSPITAL INC |
NPI Number: | 1053391730 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA EICHMAN (PRESIDENT) |
Mailing Address: | 1120 Pine St Stanley |
State: | WI US |
Postal Code: | 547681297 |
Phone Number: | 7156445571 |
Fax Number: | 7156446220 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 06/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 1013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |