Organization
MEMORIAL MEDICAL CENTER INC
Active
Parent organization
MEMORIAL MEDICAL CENTER INC
Other names
Tamarack Health Ashland Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER INC
Authorized official
MR. JASON T DOUGLAS (PRESIDENT)
(715) 685-5512
Entity
Organization
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5500
(715) 685-5118
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5500
(715) 685-5118
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
275
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022385
PREFERRED ONE
WI
01
—
0160HME
BLUE CROSS BLUE SHIELD
MN
01
—
0160JME
BLUE CROSS BLUE SHIELD
MN
05
—
11019500
—
WI
05
—
11019521
—
WI
05
—
11019526
—
WI
01
—
36585ME
BCBS PROF COMPONENT
MN
01
—
3901638
MEDICA PROF COMPONENT
WI
01
—
5025472
MEDICA
WI
Enumeration date
05/22/2007
Last updated
11/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us