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Organization
WATERTOWN MEDICAL CENTER LLC
Active
Organization
WATERTOWN MEDICAL CENTER LLC
Active
Parent organization
LIFEPOINT HEALTH INC
Other names
Watertown Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEPOINT HEALTH INC
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-4210
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11015400
—
WI
05
—
36202000
—
WI
05
—
40428200
—
WI
Enumeration date
01/27/2006
Last updated
06/25/2025
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