Organization
MEMORIAL HOSPITAL OF BOSCOBEL
Active
Parent organization
MEMORIAL HOSITAL OF BOSCOBEL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSITAL OF BOSCOBEL
Authorized official
KIM WETTER (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
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32945600
MEDICAID RURAL HEALTH
—
Enumeration date
04/24/2008
Last updated
04/24/2008
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