Memorial Hospital of Boscobel
Organization Active NPI Durable Medical Equipment & Medical Supplies · Boscobel, WI
NPI 1467640276 · NPPES record last updated Dec 2, 2014
Key facts
- NPI
- 1467640276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MEMORIAL HOSPITAL OF BOSCOBEL
- Practice address
- 200 W Bluff St
Boscobel, WI 53805-1601 - Phone
- (608) 375-2424
- Fax
- (608) 375-6285
- NPI assigned
- Oct 5, 2007
- Organization subpart
- No
Authorized official
- Name
- William G Rall
- Title
- Vice President - Finance
- Phone
- (608) 250-1194
Other NPIs on the same Medicare enrollment 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WI | Yes |
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
- Boscobel Area Health Care
Other providers in Boscobel, WI
- Collin Perry McDowell
- Michael S. Mecikalski
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
- Memorial Hospital Pharmacy
- Memorial Nursing Home
All providers in Boscobel, WI · Durable Medical Equipment & Medical Supplies in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.