NPIMap

Organization Active NPI

Vernon Memorial Hospital Assn

  • Non-Pharmacy Dispensing Site
  • Viroqua, WI
National Provider Identifier
1912290651
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 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
Last updated
Jan 7, 2020By 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 Jan 7, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

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

National Provider Directory

National Provider Directory
Tax ID family
Vernon Memorial Hosp-CR6 organizations share this tax ID, including this one
Part of
Vernon Memorial Hosp-CR

Other organizations with this tax ID 5

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": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1912290651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST STE 104",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546654004",
            "telephone_number": "608-637-4718",
            "fax_number": "608-637-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MEMORIAL HOSPITAL ASSN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "enumeration_date": "2011-05-26",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "HARTBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-637-4796"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.