Organization
MEMORIAL HOSPITAL OF BOSCOBEL
Active
Parent organization
MEMORIAL HOSPITAL OF BOSCOBEL
Other names
Boscobel Area Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF BOSCOBEL
Authorized official
MARK RANDALL (PRESIDENT & CHAIRMAN OF THE BOARD)
(608) 375-6285
Entity
Organization
Contact information
Practice address
525 N WISCONSIN AVE, MUSCODA, WI 53573-9251
(608) 739-3138
(608) 739-4130
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-6217
(608) 375-5463
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Enumeration date
09/26/2007
Last updated
11/17/2008
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