Organization
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
Active
Parent organization
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
Other names
Gundersen Moundview Hospital and Clinics, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
Authorized official
FRANK PEREZ-GUERRA (CEO)
(608) 339-6814
Entity
Organization
Contact information
Practice address
402 W. LAKE ST., FRIENDSHIP, WI 53934
(608) 339-3331
Mailing address
402 W. LAKE ST., P.O. BOX 40, FRIENDSHIP, WI 53934
(608) 339-3331
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43061300
—
WI
01
—
CR0660
MEDICARE RAILROAD
WI
Enumeration date
12/05/2006
Last updated
04/16/2025
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