NPIMap

Organization Active NPI

Memorial Hospital of Boscobel

Doing business as Boscobel Area Health Care

  • Durable Medical Equipment & Medical Supplies
  • Boscobel, WI
National Provider Identifier
1467640276
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEMORIAL HOSPITAL OF BOSCOBEL
Doing business as
Boscobel Area Health Care
Practice address
200 W Bluff St
Boscobel, WI 53805-1601
Phone
(608) 375-2424
Fax
(608) 375-6285
NPI assigned
Oct 5, 2007
Last updated
Dec 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
William G Rall
Title
Vice President - Finance
Phone
(608) 250-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WI Primary

Addresses

Primary practice location

200 W Bluff St
Boscobel, WI 53805-1601

Mailing address

205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-6217

Other names 1

  • Boscobel Area Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000725 WI Part B Supplier - Clinic/Group Practice 8325957673 Receives reassigned benefits from 316 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Viroqua, WI; Whitehall, WI; Prairie Du Chien, WI; Onalaska, WI; Muscoda, WI; Milwaukee, WI; Mequon, WI; La Crosse, WI…

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Locations

200 W Bluff St
Boscobel, WI 53805
Phone (608) 375-2424

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1467640276",
    "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": "608-375-6217",
            "fax_number": "608-375-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BLUFF ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051601",
            "telephone_number": "608-375-2424",
            "fax_number": "608-375-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF BOSCOBEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "RALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "608-250-1194"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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 Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.