Organization Name: | PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION, INC. |
NPI Number: | 1184095317 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM SEXTON (CEO) |
Mailing Address: | 37868 Us Highway 18 Prairie Du Chien |
State: | WI US |
Postal Code: | 538218416 |
Phone Number: | 6083572000 |
Fax Number: | 6083572254 |
NPI Enumeration Date: | 10/14/2015 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 1033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |