Organization
GRANT REGIONAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY WEYDERT (PT)
(608) 778-0490
Entity
Organization
Contact information
Practice address
8800 HWY 61, LANCASTER, WI 53813-9306
(608) 723-2113
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2143
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
119-019
WI
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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