Vernon Memorial Hospital Assn
Organization Active NPI Non-Pharmacy Dispensing Site · Viroqua, WI
NPI 1912290651 · NPPES record last updated Jan 7, 2020
Key facts
- NPI
- 1912290651
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- VERNON MEMORIAL HOSPITAL ASSN
- Practice address
- 507 S Main St
Viroqua, WI 54665-2059 - Phone
- (608) 637-2101
- NPI assigned
- May 26, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- VERNON MEMORIAL HEALTHCARE, INC.
Authorized official
- Name
- David Hartberg
- Title
- Cfo
- Phone
- (608) 637-4796
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Vernon Memorial Healthcare
- Part of
- Vernon Memorial Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
507 S Main St
Viroqua, WI 54665-2059
Mailing address
407 S Main St Ste 104
Viroqua, WI 54665-4004
Phone (608) 637-4718
Other providers in Viroqua, WI
- Vernon Memorial Healthcare Inc
- Vernon Memorial Healthcare, Inc
- Vernon Memorial Healthcare, Inc.
- Vernon Memorial Healthcare, Inc.
- Vernon Memorial Healthcare, Inc.
- Viroqua Area School District
- Derek Waddell
- Alexander Donald Wade
- Anna C Wagner
- Fean Wagner
All providers in Viroqua, WI · Non-Pharmacy Dispensing Site in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.