# TRI-COUNTY MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRI-COUNTY MEMORIAL HOSPITAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073335642
- **Legal business name:** TRI-COUNTY MEMORIAL HOSPITAL INC
- **Authorized official:** DANIEL COENEN (ADMINISTRATOR)
- **Authorized official phone:** (715) 538-4361

## Contact information

- **Practice address:** 35791 OSSEO RD, INDEPENDENCE, WI 54747-9096
- **Practice address phone:** (715) 985-2351
- **Practice address fax:** (715) 985-3880
- **Mailing address:** 18601 LINCOLN ST, WHITEHALL, WI 54773-8605
- **Mailing address phone:** (715) 538-4361

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2024
- **Last updated:** 10/25/2024