NPIMap

Organization Active NPI

Vernon Memorial Healthcare, Inc.

Doing business as Vernon Health Hospital Swing Bed

  • Critical Access Hospital
  • Viroqua, WI
National Provider Identifier
1992701031
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1053 Issued in WI
Legal business name
VERNON MEMORIAL HEALTHCARE, INC.
Doing business as
Vernon Health Hospital Swing Bed
Vernon Memorial Hospital - Swingbed
Practice address
507 S Main St
Viroqua, WI 54665-2059
Phone
(608) 637-2101
Fax
(607) 637-4214
NPI assigned
Jun 23, 2005
Last updated
Mar 6, 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 Mar 6, 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
Critical Access Hospital 282NC0060X 1053 WI Primary

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 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992701031. Details of each certification follow.

Hospital certification: CCN 52Z348

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

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).

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.

Ownership & related parties

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 DirectorDirector Jan 1, 2020
Melissa Hughes Individual Corporate DirectorDirector Jan 1, 2021
Dori Mickelson Individual Corporate Director Jan 1, 2020
Joan Peterson Individual Corporate DirectorDirector Jan 1, 2021
David J Hartberg Individual Corporate DirectorCeo Dec 9, 2019 100%
W-2 Managing EmployeeCeo Dec 9, 2019 100%
Peter R Hughes Individual Corporate DirectorDirector Dec 1, 2021
Paul Woodward Individual Corporate DirectorDirector Dec 1, 2021
Ashley D Lagerquist Individual W-2 Managing EmployeeDirector Apr 8, 2013
Tom Weston Individual Corporate Director Jan 1, 2020
Vicki Anderson Individual Corporate Director Jan 1, 2020
Scott P Leckey Individual Corporate DirectorCfo Aug 23, 2021
W-2 Managing EmployeeCfo Aug 23, 2021
Marilyn Clauson Individual Corporate Director Jan 1, 2020
Staci Kring Individual Corporate DirectorDirector Jan 1, 2021
Paul Larsen Individual Corporate Director Jan 1, 2020
Ashley Hagen Individual Corporate DirectorMed Staff Coordinator Jan 31, 2022
W-2 Managing EmployeeMed 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 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

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.