# VERNON MEMORIAL HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VERNON MEMORIAL HEALTHCARE, INC.
- **Other names:** VERNON MEMORIAL PHARMACY WESTBY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447427505
- **Legal business name:** VERNON MEMORIAL HEALTHCARE, INC.
- **Authorized official:** DAVID HARTBERG (CEO)
- **Authorized official phone:** (608) 637-4796

## Contact information

- **Practice address:** 115 W STATE ST, WESTBY, WI 54667-1254
- **Practice address phone:** (608) 634-2222
- **Practice address fax:** (608) 634-2427
- **Mailing address:** 115 W STATE ST, WESTBY, WI 54667-1254
- **Mailing address phone:** (608) 634-2222
- **Mailing address fax:** (608) 634-2427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8815-42 | WI | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 01/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2111118 | PK | — |
| 05 | — | 36225100 | — | WI |