NPIMap

Organization Active NPI

Vernon Memorial Healthcare, Inc.

Doing business as La Farge Medical Clinic - VMH

  • Rural Health Clinic/Center
  • La Farge, WI
National Provider Identifier
1750387221
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VERNON MEMORIAL HEALTHCARE, INC.
Doing business as
La Farge Medical Clinic - VMH
Vernon Health - La Farge Clinic
Practice address
206 North Mill Street
La Farge, WI 54639-6601
Phone
(608) 625-2494
Fax
(608) 638-5011
NPI assigned
Jun 21, 2005
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VERNON MEMORIAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
David Hartberg
Title
Ceo
Phone
(608) 637-4796

Specialties & licenses 1

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

Addresses

Primary practice location

206 North Mill Street
La Farge, WI 54639-6601

Mailing address

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

Other names 2

  • La Farge Medical Clinic - VMH Doing business as
  • Vernon Health - La Farge Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030618000016 WI Part A Provider - Rural Health Clinic 8325958416 1 other NPI on this enrollment
Practice locations: La Farge, WI
O20040420001202 WI Part B Supplier - Clinic/Group Practice 8325958416 Receives reassigned benefits from 59 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Farge, WI; Soldiers Grove, WI; Viroqua, WI; Westby, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750387221. Details of each certification follow.

Rural health clinic certification: CCN 528526

Legal name
VERNON MEMORIAL HEALTHCARE INC
Doing business as
VERNON HEALTH - LA FARGE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 1, 2003
Last certification
Apr 6, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1952 in WI
Enrollment address
206 N. Mill St.
La Farge, WI 54639-6601
Related CCNs
521348

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Part of
Vernon Memorial Hospital

Locations

111 W Snow St
La Farge, WI 54639
Phone (608) 625-2494

407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Traynor Individual Corporate Officer Mar 31, 2019
W-2 Managing Employee Mar 31, 2019 100%
Mary Gajewski Individual Corporate Director Jan 1, 2020
Dori Mickelson Individual Corporate Director Jan 1, 2020
David J Hartberg Individual Corporate Officer Dec 9, 2019
W-2 Managing Employee Dec 9, 2019 100%
Kimberly Strangstalien Individual W-2 Managing Employee Oct 10, 2019
Ashley D Lagerquist Individual Corporate Officer Apr 8, 2012
Tom Weston Individual Corporate Director Jan 1, 2020
Dave Sarnowski Individual Corporate Director Jan 1, 2020
Nathan Campbell Individual Corporate Director Jan 1, 2020
Sharon Nelson Individual Corporate Director Jan 1, 2020
Vicki Anderson Individual Corporate Director Jan 1, 2020
Marilyn Clauson Individual Corporate Director Jan 1, 2020
Kathy Stittleburg Individual Corporate Director Jan 1, 2020
Paul Larsen Individual Corporate Director Jan 1, 2020

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vernon Health - Soldiers Grove ClinicSoldiers Grove, WI, CCN 523999 Rural health clinic Operational/Managerial Control Jul 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1750387221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-2101",
            "fax_number": "608-638-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NORTH MILL STREET",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "546396601",
            "telephone_number": "608-625-2494",
            "fax_number": "608-638-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "HARTBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-637-4796"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Farge Medical Clinic - VMH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vernon Health - La Farge Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Farge, WI

Sources for this page

Verify at the official NPI Registry.