Organization
MEMORIAL HOSPITAL OF BOSCOBEL
Active
Other names
Gundersen Boscobel Area Hospital and Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOIGENZAHN (FINANCE ADMINISTRATOR)
(608) 375-6228
Entity
Organization
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
(608) 375-5463
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
(608) 375-5463
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11015210
—
WI
Enumeration date
03/07/2006
Last updated
08/05/2021
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