Organization
LAFAYETTE COUNTY
Active
Other names
Memorial Hospital of Lafayette County
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MARGARET KUEPERS (CHIEF EXECUTIVE OFFICER)
(608) 776-4466
Entity
Organization
Contact information
Practice address
800 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-4466
(608) 776-5701
Mailing address
800 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-4466
(608) 776-5701
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
1015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014800
—
WI
05
—
11014810
—
WI
05
—
32765900
—
WI
05
—
32946300
—
WI
05
—
3323770
—
WI
05
—
41227700
—
WI
05
—
42060900
—
WI
Enumeration date
08/17/2006
Last updated
09/28/2022
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