PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC NPI 1760808968

NPI Information

  • NPI: 1760808968
  • Provider Name: PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1800 BRONSON BLVD
    FENNIMORE, WI
    ZIP 53809
  • Phone: (608) 822-2940

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NPI Details

PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC is a family medicine in Fennimore, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC NPI is 1760808968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1800 BRONSON BLVD
FENNIMORE, WI
ZIP 53809-778
Phone: (608) 822-2940
Fax: (608) 822-2949

The provider's authorized official is Chris Brophy .
The authorized official title is Chief Financial Officer and has the following contact phone number (608) 357-2000.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 8/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineHSAT-7QXLRWWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11619024197MEDICAIDWISCONSIN
21619024197MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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