Memorial Hospital, Inc.

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

NPI 1376532713 · NPPES record last updated May 12, 2008

Key facts

NPI
1376532713
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MEMORIAL HOSPITAL, INC.
Practice address
502 E Elm Dr
Loyal, WI 54446-9604
Phone
(715) 255-8551
NPI assigned
Oct 18, 2005
Organization subpart
No

Authorized official

Name
Scott Polenz
Title
Administrator
Phone
(715) 743-3101

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

502 E Elm Dr
Loyal, WI 54446-9604

Mailing address

216 Sunset PL
Neillsville, WI 54456-1706
Phone (715) 743-3101

Other identifiers

IdentifierTypeStateIssuer
43051600MedicaidWI

Other names

  • Memorial Medical Center Doing business as

Other providers in Loyal, WI

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

Sources for this page

Verify at the official NPI Registry.