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 53066-3844. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Prohealth Oconomowoc Memorial Hospital, Inc. can be contacted via phone (262) 569-0471, or through Johnson, Thomas W via phone (262) 928-4704.

Contact Information

Primary practice address
791 Summit Ave Oconomowoc WI 53066-3844
Phone: (262) 569-0471
Fax: (262) 569-0422
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Thomas W RPH
Phone: (262) 928-4704

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 4758042 Wisconsin

Profile Details

NPI number 1982797312
LBN Legal business name Prohealth Oconomowoc Memorial Hospital, Inc.
DBA Doing business as
Authorized official Johnson, Thomas W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Dec 14th, 2022 - about 2 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 1982797312 NPPES
Other 5108510 OTHER ID NUMBER-COMMERCIAL NUMBER

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