Organization Name: | MEMORIAL HOSPITAL INC |
NPI Number: | 1821472986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN T NEVILLE (CEO) |
Mailing Address: | 216 Sunset Pl Neillsville |
State: | WI US |
Postal Code: | 544561706 |
Phone Number: | 7157433101 |
Fax Number: | 7157438022 |
NPI Enumeration Date: | 07/17/2015 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | 38577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |