Organization
MEMORIAL HOSPITAL INC
Active
Other names
Memorial Medical Center-Loyal
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN T NEVILLE (CEO)
(715) 743-8449
Entity
Organization
Contact information
Practice address
502 E ELM DR, LOYAL, WI 54446-9604
(715) 255-8551
(715) 743-8022
Mailing address
216 SUNSET PL, NEILLSVILLE, WI 54456-1706
(715) 743-3101
(715) 743-8022
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
WI
332900000X
Non-Pharmacy Dispensing Site
641-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43051600
—
WI
Enumeration date
07/17/2015
Last updated
07/17/2015
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