Organization
MEMORIAL HOSPITAL OF BOSCOBEL
Active
Parent organization
MEMORIAL HOSPITAL OF BOSCOBEL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF BOSCOBEL
Authorized official
THERESA BRAUDT (DIRECTOR OF NURSING)
(608) 375-6203
Entity
Organization
Contact information
Practice address
220 LINCOLN AVE, FENNIMORE, WI 53809-1036
(608) 822-3737
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
09/25/2013
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