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Organization

BOSCOBEL COUNSELING SERVICES

Active
Parent organization
MEMORIAL HOSPITAL OF BOSCOBEL
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEMORIAL HOSPITAL OF BOSCOBEL
Authorized official
MISS TATAM FITZGERALD (BUSINESS OFFICE)
(608) 375-6213
Entity
Organization

Contact information

Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42174800
WI
Enumeration date
11/01/2007
Last updated
11/01/2007
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