# MEMORIAL HOSPITAL, INC.

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

## Provider details

- **NPI number:** 1093704447
- **Authorized official:** SCOTT POLENZ (ADMINISTRATOR)
- **Authorized official phone:** (715) 743-3101

## Contact information

- **Practice address:** 216 SUNSET PL, NEILLSVILLE, WI 54456-1706
- **Practice address phone:** (715) 743-3101
- **Practice address fax:** (715) 743-3101
- **Mailing address:** 216 SUNSET PL, NEILLSVILLE, WI 54456-1706
- **Mailing address phone:** (715) 743-3101
- **Mailing address fax:** (715) 743-6245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 05/12/2008