NPIMap

Organization Active NPI

Memorial Hospital Inc

Doing business as Memorial Medical Center-Loyal

  • Rural Health Clinic/Center
  • Loyal, WI
National Provider Identifier
1801270962
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEMORIAL HOSPITAL INC
Doing business as
Memorial Medical Center-Loyal
Practice address
502 E Elm Dr
Loyal, WI 54446-9604
Phone
(715) 255-8551
Fax
(715) 743-8022
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Ryan T Neville
Title
Ceo
Phone
(715) 743-8449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X WI Primary
Non-Pharmacy Dispensing Site 332900000X 641-23 WI

Addresses

Primary practice location

502 E Elm Dr
Loyal, WI 54446-9604

Mailing address

216 Sunset PL
Neillsville, WI 54456-1706
Phone (715) 743-3101

Other identifiers 1

IdentifierTypeStateIssuer
43051600MedicaidWI

Other names 1

  • Memorial Medical Center-Loyal Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hosp-Fairchild9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1801270962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SUNSET PL",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561706",
            "telephone_number": "715-743-3101",
            "fax_number": "715-743-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E ELM DR",
            "city": "LOYAL",
            "state": "WI",
            "postal_code": "544469604",
            "telephone_number": "715-255-8551",
            "fax_number": "715-743-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-743-8449"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WI",
            "license": "641-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43051600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Medical Center-Loyal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loyal, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.