Organization
STOUGHTON HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
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
282NC0060X
Critical Access Hospital
Primary
3804800
WI
283Q00000X
Psychiatric Hospital
3804800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009393
PHYSICIANS PLUS HEALTH IN
WI
05
—
11007200
—
WI
05
—
11007210
—
WI
01
—
78
DEAN HEALTH PLAN
WI
Enumeration date
12/13/2005
Last updated
11/13/2020
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