Organization Name: | OUR LADY OF VICTORY HOSPITAL INC |
NPI Number: | 1356311252 |
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: | 7156445530 |
Fax Number: | 7156446223 |
NPI Enumeration Date: | 01/24/2006 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |