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Vernon Memorial Healthcare, Inc.

Organization Active NPI Critical Access Hospital · Viroqua, WI

NPI 1992701031 · NPPES record last updated Mar 6, 2026

Key facts

NPI
1992701031
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
1053 (WI)
Legal business name
VERNON MEMORIAL HEALTHCARE, INC.
Practice address
507 S Main St
Viroqua, WI 54665-2059
Phone
(608) 637-2101
Fax
(607) 637-4214
NPI assigned
Jun 23, 2005
Organization subpart
Yes
Parent organization (as reported)
VERNON MEMORIAL HEALTHCARE, INC.

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 5

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

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

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 73

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Hospital certification: CCN 52Z348

Legal name
VERNON MEMORIAL HEALTHCARE INC
Doing business as
VERNON HEALTH HOSPITAL SWING BED
Organization structure
Corporation · Non-profit
Incorporated
Sep 1, 1952 in WI
Enrollment address
507 S Main St
Viroqua, WI 54665-2059

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Mary Gajewski
Individual 		Corporate Director
Director		 Jan 1, 2020
Melissa Hughes
Individual 		Corporate Director
Director		 Jan 1, 2021
Dori Mickelson
Individual 		Corporate Director Jan 1, 2020
Joan Peterson
Individual 		Corporate Director
Director		 Jan 1, 2021
David J Hartberg
Individual 		Corporate Director
Ceo		 Dec 9, 2019 100%
W-2 Managing Employee
Ceo		 Dec 9, 2019 100%
Peter R Hughes
Individual 		Corporate Director
Director		 Dec 1, 2021
Paul Woodward
Individual 		Corporate Director
Director		 Dec 1, 2021
Ashley D Lagerquist
Individual 		W-2 Managing Employee
Director		 Apr 8, 2013
Tom Weston
Individual 		Corporate Director Jan 1, 2020
Vicki Anderson
Individual 		Corporate Director Jan 1, 2020
Scott P Leckey
Individual 		Corporate Director
Cfo		 Aug 23, 2021
W-2 Managing Employee
Cfo		 Aug 23, 2021
Marilyn Clauson
Individual 		Corporate Director Jan 1, 2020
Staci Kring
Individual 		Corporate Director
Director		 Jan 1, 2021
Paul Larsen
Individual 		Corporate Director Jan 1, 2020
Ashley Hagen
Individual 		Corporate Director
Med Staff Coordinator		 Jan 31, 2022
W-2 Managing Employee
Med Staff Coordinator		 Jan 31, 2022

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 Clinic
Soldiers Grove, WI · CCN 523999		 Rural health clinic Operational/Managerial Control Jul 1, 2010

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111117000133 WI Part a Provider - Critical Access Hospital 8325958416 Practice locations: Viroqua, WI

National Provider Directory

Tax ID family
Vernon Memorial Healthcare (6 organizations share this tax ID)
Part of
Vernon Memorial Healthcare

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1053 WI Yes

Addresses

Primary practice location

507 S Main St
Viroqua, WI 54665-2059

Mailing address

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

Other names

  • Vernon Health Hospital Swing Bed Doing business as
  • Vernon Memorial Hospital - Swingbed Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 6, 2026.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1992701031",
    "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": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-2101",
            "fax_number": "607-637-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernon Health Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vernon Memorial Hospital - Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viroqua, WI

All providers in Viroqua, WI · Critical Access Hospital in Wisconsin

Sources for this page

Verify at the official NPI Registry.