Prohealth Oconomowoc Memorial Hospital, Inc.

LBN: Prohealth Oconomowoc Memorial Hospital, Inc.
Prohealth Oconomowoc Memorial Hospital, Inc. is an health care organization with primary practice located at 791 Summit Ave , Oconomowoc WI 53066. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Prohealth Oconomowoc Memorial Hospital, Inc. can be contacted via phone (262) 928-2510, or through Edwards, Susan A via phone (262) 928-2263.

Contact Information

Primary practice address
791 Summit Ave Oconomowoc WI 53066
Phone: (262) 928-2510
Fax: (262) 928-4032
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Susan A
Phone: (262) 928-2263

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 113 Wisconsin

Profile Details

NPI number 1366420531
LBN Legal business name Prohealth Oconomowoc Memorial Hospital, Inc.
DBA Doing business as
Authorized official Edwards, Susan A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated May 6th, 2020 - about 4 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 1366420531 NPPES
Wisconsin MEDICAID 11011100

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