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Organization

STOUGHTON HOSPITAL ASSOCIATION

Active
Parent organization
STOUGHTON HOSPITAL ASSOCIATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
STOUGHTON HOSPITAL ASSOCIATION
Authorized official
MR. DANIEL DEGROOT (PRESIDENT)
(608) 873-2250
Entity
Organization

Contact information

Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-6611
Mailing address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-6611

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
WI
282NC0060X
Critical Access Hospital
3804800
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11007200
WI
05
11007210
WI
Enumeration date
11/20/2006
Last updated
07/21/2022
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  • Eligibility checks
  • EDI platform