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Organization

STOUGHTON HOSPITAL ASSOCIATION

Active
Parent organization
STOUGHTON HOSPITAL ASSOCIATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
STOUGHTON HOSPITAL ASSOCIATION
Authorized official
MR. DANIEL C DEGROOT (PRESIDENT)
(608) 873-2250
Entity
Organization

Contact information

Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-6611
(608) 873-2255
Mailing address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-6611
(608) 873-2255

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11007200
WI
05
11007210
WI
Enumeration date
01/31/2007
Last updated
07/21/2022
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  • EDI platform