NPIMap

Organization Active NPI

Vernon Memorial Healthcare, Inc.

Doing business as Bland Clinic - VMH

  • Rural Health Clinic/Center
  • Westby, WI
National Provider Identifier
1215933767
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VERNON MEMORIAL HEALTHCARE, INC.
Doing business as
Bland Clinic - VMH
Vernon Health - Westby Clinic
Practice address
100 Melby St
Westby, WI 54667-1012
Phone
(608) 634-3126
Fax
(608) 638-5040
NPI assigned
Jun 21, 2005
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VERNON MEMORIAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
David Hartberg
Title
Ceo
Phone
(608) 637-4796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

100 Melby St
Westby, WI 54667-1012

Mailing address

100 Melby St
Westby, WI 54667-1012
Phone (608) 634-3126

Other names 2

  • Bland Clinic - VMH Doing business as
  • Vernon Health - Westby Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040420001202 WI Part B Supplier - Clinic/Group Practice 8325958416 Receives reassigned benefits from 59 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Farge, WI; Soldiers Grove, WI; Viroqua, WI; Westby, WI
O20100928000193 WI Part A Provider - Rural Health Clinic 8325958416 Practice locations: Westby, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215933767. Details of each certification follow.

Rural health clinic certification: CCN 528501

Legal name
VERNON MEMORIAL HEALTHCARE INC
Doing business as
VERNON HEALTH - WESTBY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 14, 1997
Last certification
May 13, 2026
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1952 in WI
Enrollment address
100 Melby St
Westby, WI 54667-1012
Related CCNs
521348

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0396502Vernon Health-Westby Clinic100 Melby St, Westby, WI 54667ComplianceMar 21, 2028

National Provider Directory

National Provider Directory
Part of
Vernon Memorial Hosp-CR

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Traynor Individual Corporate DirectorCfo Mar 31, 2019
W-2 Managing EmployeeCfo Mar 31, 2019
Dori Mickelson Individual Corporate Director Jan 1, 2020
David J Hartberg Individual Corporate DirectorCeo Dec 9, 2019
W-2 Managing EmployeeCeo Dec 9, 2019
Kimberly Strangstalien Individual W-2 Managing EmployeeMedical Staff Coordinator Jan 1, 2020
Ashley D Lagerquist Individual W-2 Managing EmployeePT. Registration & Accounts Manager Jan 1, 2020
Tom Weston Individual Corporate Director Jan 1, 2020
Blane Charles Individual Corporate DirectorChair Nov 30, 2018
Dave Sarnowski Individual Corporate Director Nov 30, 2018
Nathan Campbell Individual Corporate DirectorVice-Chair Nov 30, 2018
Sharon Nelson Individual Corporate Director Nov 30, 2018
Vicki Anderson Individual Corporate Director Jan 1, 2020
Marilyn Clauson Individual Corporate DirectorSecretary Nov 30, 2018
Kathy Stittleburg Individual Corporate DirectorTreasurer Nov 30, 2018
Paul Larsen Individual Corporate Director Jan 1, 2020

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vernon Health - Soldiers Grove ClinicSoldiers Grove, WI, CCN 523999 Rural health clinic Operational/Managerial Control Jul 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1215933767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MELBY ST",
            "city": "WESTBY",
            "state": "WI",
            "postal_code": "546671012",
            "telephone_number": "608-634-3126",
            "fax_number": "608-638-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MELBY ST",
            "city": "WESTBY",
            "state": "WI",
            "postal_code": "546671012",
            "telephone_number": "608-634-3126",
            "fax_number": "608-638-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "HARTBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-637-4796"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bland Clinic - VMH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vernon Health - Westby Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westby, WI

Sources for this page

Verify at the official NPI Registry.