| Organization Name: | WAUPUN MEMORIAL HOSPITAL |
| NPI Number: | 1548248644 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN N LITTLE (SVP & CFO) |
| Mailing Address: | 620 W Brown St Waupun |
| State: | WI US |
| Postal Code: | 539631702 |
| Phone Number: | 9203245581 |
| Fax Number: | 9209268885 |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |