Organization
TOMAH MEMORIAL HOSPITAL, INC.
Active
Parent organization
TOMAH MEMORIAL HOSPITAL INC
Other names
Tomah Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOMAH MEMORIAL HOSPITAL INC
Authorized official
DEREK DALY (CEO)
(608) 377-8680
Entity
Organization
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00459
MEDICARE PRO GROUP NUMBER
WI
05
—
32766100
—
WI
Enumeration date
04/25/2008
Last updated
07/28/2025
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