# WATERTOWN REGIONAL MEDICAL CENTER, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WATERTOWN REGIONAL MEDICAL CENTER, INC
- **Other names:** UWHP WRMC Hospital Drive Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770885683
- **Legal business name:** WATERTOWN REGIONAL MEDICAL CENTER, INC
- **Authorized official:** MR. ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING)
- **Authorized official phone:** (920) 262-4784

## Contact information

- **Practice address:** 123 HOSPITAL DR, STE 2009, WATERTOWN, WI 53098-3320
- **Practice address phone:** (920) 206-9833
- **Practice address fax:** (920) 262-9834
- **Mailing address:** PO BOX 684088, CHICAGO, IL 60695-4088
- **Mailing address phone:** (920) 262-4784
- **Mailing address fax:** (920) 262-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | WI | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 03/20/2014