NPIMap

Vernon Memorial Healthcare, Inc.

Organization Active NPI Rural Health Clinic/Center · Westby, WI

NPI 1215933767 · NPPES record last updated Feb 2, 2026

Key facts

NPI
1215933767
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
VERNON MEMORIAL HEALTHCARE, INC.
Practice address
100 Melby St
Westby, WI 54667-1012
Phone
(608) 634-3126
Fax
(608) 638-5040
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

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

Other NPIs on the same Medicare enrollment 4

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

Other NPIs with the same Medicare PAC ID 5

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

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

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 74

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI

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
Corporation · Non-profit
Incorporated
Sep 1, 1952 in WI
Enrollment address
100 Melby St
Westby, WI 54667-1012
Related CCNs
521348

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 Director
Cfo		 Mar 31, 2019
W-2 Managing Employee
Cfo		 Mar 31, 2019
Dori Mickelson
Individual 		Corporate Director Jan 1, 2020
David J Hartberg
Individual 		Corporate Director
Ceo		 Dec 9, 2019
W-2 Managing Employee
Ceo		 Dec 9, 2019
Kimberly Strangstalien
Individual 		W-2 Managing Employee
Medical Staff Coordinator		 Jan 1, 2020
Ashley D Lagerquist
Individual 		W-2 Managing Employee
PT. Registration & Accounts Manager		 Jan 1, 2020
Tom Weston
Individual 		Corporate Director Jan 1, 2020
Blane Charles
Individual 		Corporate Director
Chair		 Nov 30, 2018
Dave Sarnowski
Individual 		Corporate Director Nov 30, 2018
Nathan Campbell
Individual 		Corporate Director
Vice-Chair		 Nov 30, 2018
Sharon Nelson
Individual 		Corporate Director Nov 30, 2018
Vicki Anderson
Individual 		Corporate Director Jan 1, 2020
Marilyn Clauson
Individual 		Corporate Director
Secretary		 Nov 30, 2018
Kathy Stittleburg
Individual 		Corporate Director
Treasurer		 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 Clinic
Soldiers Grove, WI · CCN 523999		 Rural health clinic Operational/Managerial Control Jul 1, 2010

Medicare enrollment records

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

National Provider Directory

Part of
Vernon Memorial Healthcare

Locations

100 Melby St
Westby, WI 54667
Phone (608) 634-3125

Specialties & licenses

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

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

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

Other providers in Westby, WI

All providers in Westby, WI · Rural Health Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.