Organization Name: | MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC |
NPI Number: | 1710939533 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON HEINZ (CEO) |
Mailing Address: | 402 W Lake St Friendship |
State: | WI US |
Postal Code: | 539349699 |
Phone Number: | 6083393331 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 107800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |