Organization Name: | VERNON MEMORIAL HEALTHCARE |
NPI Number: | 1164752648 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES A BACON (PHYSICAL THERAPIST) |
Mailing Address: | 507 S Main St Viroqua |
State: | WI US |
Postal Code: | 546652059 |
Phone Number: | 6086374385 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2010 |
NPI Last Update Date: | 01/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |