County of Rusk

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

1030 Issued in WI

Legal business name

COUNTY OF RUSK

Doing business as

Rusk County Memorial Hospital

Practice address

900 College Avenue West
Ladysmith, WI 54848-2116

Phone

(715) 532-5561

Fax

(715) 532-3025

NPI assigned

Aug 23, 2005

Last updated

Apr 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charisse A Oland

Title

Ceo

Phone

(715) 532-5561

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Rusk County Memorial Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710970041. Details of each certification follow.

• CCN 520039 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 520039

Legal name

RUSK COUNTY MEMORIAL HOSPITAL 203

Certification status

Terminated Other: provider status change, Mar 1, 2003

Provider type (POS)

Hospital – Short-term

Participating since

Sep 2, 1973

Last certification

Jan 26, 2001

Beds

41

Ownership / control type

Other

Facility address

900 College Ave West
Ladysmith, WI 54848

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• County of Rusk

  dba Rusk County Memorial Hospital

  • Rural Health Clinic/Center
  • Ladysmith, WI
  • NPI 1528478542

  Member Of

  NPD member

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1710970041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COLLEGE AVENUE WEST",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548482116",
            "telephone_number": "715-532-5561",
            "fax_number": "715-532-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COLLEGE AVENUE WEST",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548482116",
            "telephone_number": "715-532-5561",
            "fax_number": "715-532-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RUSK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "OLAND",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-532-5561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32766700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11009310",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33114700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43410200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11009300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rusk County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brita Lynn Bush, FNP-C
• Karen Lee Buth, LPTA
• Elizabeth Henderson Cernohous, NP
• Community Support Center of Rusk County
• County of Rusk (Rusk County Memorial Hospital)
• County of Rusk
• County of Rusk Dba Rusk County Memorial Hospital and Nursing Home
• Amanda Michelle Crabb, APNP
• Stephanie Shane Croft, FNP-BC
• D & M Home Care, Inc.

• Critical Access Hospital in Ladysmith, WI
• Providers in Ladysmith, WI by specialty
• Critical Access Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.