Organization
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Active
Parent organization
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Other names
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC., MEMORIAL HEALTH CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
(715) 748-8199
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
(715) 748-8199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336I0012X
Institutional Pharmacy
Primary
4917-042
WI
3336L0003X
Long Term Care Pharmacy
4917-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33124500
—
WI
01
—
450770N00
AMERICAN HOSPITAL ASSOC
—
01
—
5107215
NCPDP
—
Enumeration date
12/20/2006
Last updated
06/10/2024
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