Organization
LADD MEMORIAL HOSPITAL
Active
Other names
Osceola Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATT FORGE (CEO AND ADMINISTRATOR)
(715) 294-5622
Entity
Organization
Contact information
Practice address
301 RIVER ST., OSCEOLA, WI 54020
(715) 294-2111
Mailing address
PO BOX 218, OSCEOLA, WI 54020-0218
(715) 294-2111
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1021
WI
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512241-9
NCPDP
WI
Enumeration date
04/19/2007
Last updated
06/17/2019
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