Ladd Memorial Hospital

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

1021 Issued in WI

Legal business name

LADD MEMORIAL HOSPITAL

Practice address

301 River St.
Osceola, WI 54020

Phone

(715) 294-2111

NPI assigned

Apr 19, 2007

Organization subpart

No

Name

Matt Forge

Title

Ceo and Administrator

Phone

(715) 294-5622

Tax ID family

Ladd Memorial Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Ladd Memorial Hospital

  • Community/Retail Pharmacy
  • Osceola, WI
  • NPI 1285926501
  NPD tax ID
• Ladd Memorial Hospital

  • Rural Health Clinic/Center
  • Osceola, WI
  • NPI 1801394549
  NPD tax ID
• Osceola Medical Center

  • Non-Pharmacy Dispensing Site
  • Osceola, WI
  • NPI 1588813778
  NPD tax ID
• Ladd Memorial Hospital

  • Community/Retail Pharmacy
  • Scandia, MN
  • NPI 1447179965
  NPD tax ID

• Osceola Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2019.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1184841561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200218",
            "telephone_number": "715-294-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVER ST.",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "715-294-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "FORGE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO AND ADMINISTRATOR",
        "authorized_official_telephone_number": "715-294-5622"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1021",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "512241-9",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osceola Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Osceola Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemary Kephart, COTA
• Tawnya Jo Koenig, RD
• Kumlien Chiropractic LLC
• Gregory Roger Kumlien, D.C.
• Hannah Kunkel
• Ladd Memorial Hospital
• Ladd Memorial Hospital
• Ladd Memorial Hospital
• Lakeland Health Services, Inc.
• Daniel Langenfeld, DPT

• All providers in Osceola, WI
• Critical Access Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.