Gundersen Moundview Hospital And Clinics, Inc.

LBN: Moundview Memorial Hospital And Clinics, Inc.
Gundersen Moundview Hospital And Clinics, Inc. is an health care organization with primary practice located at 402 W Lake St , Friendship WI 53934-9699. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Moundview Memorial Hospital And Clinics, Inc. can be contacted via phone (608) 339-8367, or through Shapiro, David via phone (608) 339-8367.

Contact Information

Primary practice address
402 W Lake St Friendship WI 53934-9699
Phone: (608) 339-8367
Fax: (608) 339-8330
Website:
Map and Directions
Authorized official contact:
Name: Shapiro, David RPH
Phone: (608) 339-8367

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 5181-42 Wisconsin

Profile Details

NPI number 1811939911
LBN Legal business name Moundview Memorial Hospital And Clinics, Inc.
DBA Doing business as Gundersen Moundview Hospital And Clinics, Inc.
Authorized official Shapiro, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated May 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811939911 NPPES
Other 2112711 PK
MEDICAID 33121200 PK

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