# LANGLADE MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANGLANDE MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982741039
- **Legal business name:** LANGLANDE MEMORIAL HOSPITAL
- **Authorized official:** JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (715) 847-2526

## Contact information

- **Practice address:** 112 E 5TH AVE, ANTIGO, WI 54409-2710
- **Practice address phone:** (952) 653-2528
- **Mailing address:** 29980 NETWORK PL, CHICAGO, IL 60673-1299
- **Mailing address phone:** (715) 847-2304
- **Mailing address fax:** (715) 843-1188

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 06/13/2024