Gundersen Moundview Hospital And Clinics, Inc.

LBN: Moundview Memorial Hospital & 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 only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Moundview Memorial Hospital & Clinics, Inc can be contacted via phone (608) 339-3331, or through Perez-Guerra, Frank via phone (608) 339-6814.

Contact Information

Primary practice address
402 W Lake St Friendship WI 53934-9699
Fax:
Website:
Authorized official contact:
Name: Perez-Guerra, Frank

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 107800 Wisconsin

Profile Details

NPI number 1710939533
LBN Legal business name Moundview Memorial Hospital & Clinics, Inc
DBA Doing business as Gundersen Moundview Hospital And Clinics, Inc.
Authorized official Perez-Guerra, Frank
Entity Organization
Organization subpart 1 Yes
Enumeration date May 17th, 2006
Last updated May 13th, 2019 - about 6 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 1710939533 NPPES
Wisconsin MEDICAID 100002609
Wisconsin MEDICAID 21126600
Wisconsin MEDICAID 43061300
Wisconsin MEDICAID 41348000
Wisconsin Other CR0660
Wisconsin MEDICAID 32764400
Wisconsin MEDICAID 36200100
Wisconsin MEDICAID 41231200
Wisconsin MEDICAID 11012010
Wisconsin MEDICAID 11012000
Wisconsin MEDICAID 20126600
Wisconsin MEDICAID 33121200
Wisconsin MEDICAID 41113800

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