Organization
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC
Active
Parent organization
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC
Other names
Gundersen Moundview Hospital and Clinics, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC
Authorized official
FRANK PEREZ-GUERRA (CEO)
(608) 339-6814
Entity
Organization
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Mailing address
402 W LAKE ST, PO BOX 40, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
107800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002609
—
WI
05
—
11012000
—
WI
05
—
11012010
—
WI
05
—
20126600
—
WI
05
—
21126600
—
WI
05
—
32764400
—
WI
05
—
33121200
—
WI
05
—
36200100
—
WI
05
—
41113800
—
WI
05
—
41231200
—
WI
05
—
41348000
—
WI
05
—
43061300
—
WI
01
—
CR0660
MEDICARE RAILROAD
—
Enumeration date
05/17/2006
Last updated
04/16/2025
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