Organization Name: | PRAIRIE DU CHIEN MEMORIAL HOSPITAL |
NPI Number: | 1477605848 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROLD W BROWN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 705 E Taylor St Prairie Du Chien |
State: | WI US |
Postal Code: | 538212110 |
Phone Number: | 6083572000 |
Fax Number: | 6083572254 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 1033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |