Organization
MEMORIAL HOSPITAL OF BOSCOBEL
Active
Parent organization
MEMORIAL HOSPITAL OF BOSCOBEL
Other names
Gundersen Boscobel Area Hospital and Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF BOSCOBEL
Authorized official
THERESA BRAUDT (DIRECTOR OF NURSING)
(608) 375-6203
Entity
Organization
Contact information
Practice address
208 PARKER ST, BOSCOBEL, WI 53805-1648
(608) 375-2424
(608) 375-6285
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-6217
(608) 375-5463
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21315200
—
WI
05
—
43061800
—
WI
Enumeration date
06/06/2007
Last updated
03/31/2022
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