Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Memorial Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT POLENZ (ADMINISTRATOR)
(715) 743-3101
Entity
Organization
Contact information
Practice address
502 E ELM DR, LOYAL, WI 54446-9604
(715) 255-8551
Mailing address
216 SUNSET PL, NEILLSVILLE, WI 54456-1706
(715) 743-3101
(715) 743-6245
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43051600
—
WI
Enumeration date
10/18/2005
Last updated
05/12/2008
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