Organization
STOUGHTON HOSPITAL ASSOCIATION
Active
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
Update your record
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