Vernon Memorial Healthcare, Inc
Organization Active NPI Rural Health Clinic/Center · Viroqua, WI
NPI 1144226507 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1144226507
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- VERNON MEMORIAL HEALTHCARE, INC
- Practice address
- 407 S Main St
Suite 400
Viroqua, WI 54665-1511 - Phone
- (608) 637-3174
- Fax
- (608) 637-3120
- NPI assigned
- Jun 21, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- VERNON MEMORIAL HEALTHCARE, INC.
Authorized official
- Name
- David Hartberg
- Title
- Ceo
- Phone
- (608) 637-4796
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 1
Practitioners 98
-
Bernadette Adams, FNP
-
Kyle Bakken, M.D.
-
Keith Edward Baynes, M.D.
-
William N Calkins, M.D.
-
David E Chakoian, M.D.
-
Joel Charles, M.D., M.P.H.
-
Holly Dwyer, LPC-IT
-
Shelby Lynn Foley, APSW
-
Joann Fouts, D.O.
-
Debra Michelle Gallagher, APNP
-
Joshua Gerrity, LICSW
-
Martha Arwen Karlstad, M.D.
-
Jessica L Klein, PA-C
-
Lily A Lepke, APNP
-
Darren William Perttu, M.D.
-
Tauqeer Qazi, MD
-
Kelly M Scheder, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0396494 | Vernon Health-Viroqua Clinic | Compliance | Sep 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WI
Rural health clinic certification: CCN 528526
- Legal name
- VERNON MEMORIAL HEALTHCARE INC
- Doing business as
- VERNON HEALTH - LA FARGE CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Oct 1, 2003
- Last certification
- Apr 6, 2022
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 1, 1952 in WI
- Enrollment address
- 206 N. Mill St.
La Farge, WI 54639-6601 - Related CCNs
- 521348
Rural health clinic certification: CCN 523996
- Legal name
- VERNON MEMORIAL HEALTHCARE INC
- Doing business as
- VERNON HEALTH - VIROQUA CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 1, 1996
- Last certification
- Sep 29, 2025
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 1, 1952 in WI
- Enrollment address
- 407 S Main St
Ste 400
Viroqua, WI 54665-4000 - Related CCNs
- 521348
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Traynor |
Corporate Officer | Mar 31, 2019 | |
| W-2 Managing Employee | Mar 31, 2019 | 100% | |
| Mary Gajewski |
Corporate Director | Jan 1, 2020 | |
| Dori Mickelson |
Corporate Director | Jan 1, 2020 | |
| David J Hartberg |
Corporate Officer | Dec 9, 2019 | |
| W-2 Managing Employee | Dec 9, 2019 | 100% | |
| Corporate Director |
Dec 9, 2019 | ||
| W-2 Managing Employee |
Dec 9, 2019 | ||
| Kimberly Strangstalien |
W-2 Managing Employee | Oct 10, 2019 | |
| Ashley D Lagerquist |
Corporate Officer | Apr 8, 2012 | |
| W-2 Managing Employee |
Apr 8, 2013 | ||
| Tom Weston |
Corporate Director | Jan 1, 2020 | |
| Dave Sarnowski |
Corporate Director | Jan 1, 2020 | |
| Nathan Campbell |
Corporate Director | Jan 1, 2020 | |
| Sharon Nelson |
Corporate Director | Jan 1, 2020 | |
| Vicki Anderson |
Corporate Director | Jan 1, 2020 | |
| Marilyn Clauson |
Corporate Director | Jan 1, 2020 | |
| Kathy Stittleburg |
Corporate Director | Jan 1, 2020 | |
| Paul Larsen |
Corporate Director | Jan 1, 2020 | |
| Joan Peterson |
Corporate Director |
Jul 1, 2024 | |
| Peter R Hughes |
Corporate Director |
Jul 1, 2024 | |
| Paul Woodward |
Corporate Director |
Jul 1, 2024 | |
| Kimberly Turmire |
Corporate Director |
Jul 1, 2024 | |
| Steven Michaels |
Corporate Director |
Jul 1, 2024 | |
| Jay Vossetig |
Corporate Director |
Jul 1, 2024 | |
| Scott P Leckey |
Corporate Director |
Jul 1, 2024 | |
| W-2 Managing Employee |
Jul 1, 2024 | ||
| Michele Engh |
Corporate Director |
Jul 1, 2024 | |
| Staci Kring |
Corporate Director |
Jul 1, 2024 | |
| Ashley Hagen |
Corporate Director |
Jul 1, 2024 | |
| W-2 Managing Employee |
Jul 1, 2024 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Vernon Health - Soldiers Grove Clinic |
Rural health clinic | Operational/Managerial Control | Jul 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030618000016 | WI | Part a Provider - Rural Health Clinic | 8325958416 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: La Farge, WI |
| O20040420001202 | WI | Part B Supplier - Clinic/Group Practice | 8325958416 |
Receives reassigned benefits from 59 practitioners 4 other NPIs on this enrollment Practice locations: La Farge, WI; Soldiers Grove, WI; Viroqua, WI; Westby, WI |
| O20060823000504 | WI | Part a Provider - Rural Health Clinic | 8325958416 | Practice locations: Viroqua, WI |
National Provider Directory
- Part of
- Vernon Memorial Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
407 S Main St
Suite 400
Viroqua, WI 54665-1511
Mailing address
407 S Main St Ste 400
Viroqua, WI 54665-4000
Phone (608) 637-3174
Other names
- Hirsch Clinic - VMH
- Vernon Health - Viroqua Clinic
Other providers in Viroqua, WI
- Vernon County Health Department
- Vernon County Health Department
- Vernon County Health Department
- Vernon County Health Separtment
- Vernon Memorial Healthcare Inc
- Vernon Memorial Healthcare, Inc.
- Vernon Memorial Healthcare, Inc.
- Vernon Memorial Healthcare, Inc.
- Vernon Memorial Hospital Assn
- Viroqua Area School District
All providers in Viroqua, WI · Rural Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.