Hudson Hospital Inc.
Organization Active NPI Clinic/Center · Roberts, WI
NPI 1609184597 · NPPES record last updated Oct 20, 2017
Key facts
- NPI
- 1609184597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- HUDSON HOSPITAL INC.
- Practice address
- 143 Jennifer Rae Junction North
Roberts, WI 54023-8639 - Phone
- (715) 531-6000
- NPI assigned
- Sep 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Douglas Johnson
- Title
- Cfo
- Phone
- (715) 531-6013
Other NPIs on the same Medicare enrollment 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000807 | WI | Part B Supplier - Clinic/Group Practice | 0648183061 |
Receives reassigned benefits from 175 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hudson, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
143 Jennifer Rae Junction North
Roberts, WI 54023-8639
Mailing address
405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000
Other providers in Roberts, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2017. 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.