MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC. NPI 1962560334

NPI Information

NPI: 1962560334
Provider Name: MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.

Doing Business As: GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS, INC.

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
402 W. LAKE ST.
FRIENDSHIP, WI
ZIP 53934
Phone: (608) 339-3331
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MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC. is a rural health clinic center in Friendship, WI. MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC. NPI is 1962560334. The provider is registered as an organization entity type.
The provider Is Doing Business As Gundersen Moundview Hospital And Clinics, Inc..

The provider's business location address is:

402 W. LAKE ST.
FRIENDSHIP, WI
ZIP 53934
Phone: (608) 339-3331

The provider's authorized official is Frank Perez-guerra .
The authorized official title is Ceo and has the following contact phone number (608) 339-6814.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 3/11/2020.

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
1	261Q00000X	Clinic/Center				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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
1	43061300	MEDICAID	WISCONSIN
2	CR0660	OTHER	WISCONSIN	MEDICARE RAILROAD

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: 4/28/2024

NPI Synchronization or Removal

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