# HUDSON HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hudson Hospital & Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184685190
- **Authorized official:** DOUGLAS JOHNSON (CFO)
- **Authorized official phone:** (715) 531-6013

## Contact information

- **Practice address:** 403 STAGELINE RD, HUDSON, WI 54016
- **Practice address phone:** (715) 531-6800
- **Practice address fax:** (715) 531-6801
- **Mailing address:** 403 STAGELINE RD, HUDSON, WI 54016
- **Mailing address phone:** (715) 531-6800
- **Mailing address fax:** (715) 531-6801

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 10/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00485 | MEDICARE | WI |