# VERNON MEMORIAL HOSPITAL ASSN

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

## Provider details

- **NPI number:** 1912290651
- **Legal business name:** VERNON MEMORIAL HEALTHCARE, INC.
- **Authorized official:** DAVID HARTBERG (CFO)
- **Authorized official phone:** (608) 637-4796

## Contact information

- **Practice address:** 507 S MAIN ST, VIROQUA, WI 54665-2059
- **Practice address phone:** (608) 637-2101
- **Mailing address:** 407 S MAIN ST STE 104, VIROQUA, WI 54665-4004
- **Mailing address phone:** (608) 637-4718
- **Mailing address fax:** (608) 637-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 01/07/2020