# TRI-COUNTY MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emplify Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013748060
- **Authorized official:** MR. DAN D COENEN (ADMINISTRATOR)
- **Authorized official phone:** (715) 538-4361

## Contact information

- **Practice address:** 250 STATE ROAD 37, MONDOVI, WI 54755-2611
- **Practice address phone:** (715) 538-4361
- **Mailing address:** 18601 LINCOLN ST, WHITEHALL, WI 54773-8605
- **Mailing address phone:** (715) 538-4361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 11/04/2024