NPIMap

Organization Active NPI

Memorial Nursing Home

Doing business as Boscobel Area Health Care

  • Skilled Nursing Facility
  • Boscobel, WI
National Provider Identifier
1194782318
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEMORIAL NURSING HOME
Doing business as
Boscobel Area Health Care
Practice address
205 Parker St
Boscobel, WI 53805-1642
Phone
(608) 375-6213
NPI assigned
May 1, 2006
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL OF BOSCOBELAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Boigenzahn
Title
Finance Administrator
Phone
(608) 375-6228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

205 Parker St
Boscobel, WI 53805-1642

Mailing address

205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-6213

Other names 1

  • Boscobel Area Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital Pharmacy9 organizations share this tax ID, including this one
Part of
Memorial Hospital Pharmacy

Other organizations with this tax ID 8

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1194782318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-375-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-375-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL OF BOSCOBEL",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "BOIGENZAHN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FINANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "608-375-6228"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boscobel Area Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boscobel Area Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boscobel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.