Organization
WAUPUN MEMORIAL HOSPITAL
Active
Other names
WAUPUN MEMORIAL HOSPITAL SWINGBED, SSM Health Waupun Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE R SCHMITZ (CFO)
(920) 926-4480
Entity
Organization
Contact information
Practice address
620 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-5581
(920) 926-8885
Mailing address
620 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-5581
(920) 926-8885
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101160
VESTICA
WI
05
—
11008100
—
WI
01
—
Z3
DEAN CARE
WI
Enumeration date
01/06/2006
Last updated
03/12/2022
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