Organization
MEMORIAL HOSPITAL, INC
Active
Organization
MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT POLENZ CEO (ADMINISTRATOR)
(715) 743-3101
Entity
Organization
Contact information
Practice address
216 SUNSET PL, MEMORIAL HOSPITAL, INC, NEILLSVILLE, WI 54456-1706
(715) 743-3101
(715) 743-6245
Mailing address
216 SUNSET PL, MEMORIAL HOSPITAL, INC, NEILLSVILLE, WI 54456-1706
(715) 743-3101
(715) 743-6245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32947200
—
WI
Enumeration date
04/09/2008
Last updated
04/16/2008
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