VERNON MEMORIAL HEALTHCARE, INC. (NPI# 1215933767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215933767 |
Entity Type | Organization |
Organization Name | VERNON MEMORIAL HEALTHCARE, INC. |
Other Organization Name | BLAND CLINIC - VMH |
Practice Address |
100 Melby St Westby WI 54667-1012 |
Practice Telephone | 6086343126 |
Practice Fax Number | 6086385040 |
Mailing Telephone | 6086343126 |
Mailing Fax Number | 6086385040 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2020-01-07 |
Authorized Official Name | DAVID HARTBERG (CEO) |
Authorized Official Telephone | 6086374796 |
Is Organization Subpart | Y |
Parent Organization Name | VERNON MEMORIAL HEALTHCARE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Bland Clinic - VMH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295708204 | Vernon Memorial Healthcare, Inc. | Home Health | 705 Arena Dr, Viroqua, WI 54665-2059 | 2006-02-09 |
1619969490 | Vernon Memorial Healthcare, Inc. | Pharmacist | 104 Sunset Ave, Soldiers Grove, WI 54655-7523 | 2005-08-18 |
1376549824 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2005-06-21 |
1750387221 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 206 North Mill Street, La Farge, WI 54639-6601 | 2005-06-21 |
1164752648 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2010-01-06 |
1467425488 | Vernon Memorial Healthcare, Inc. | Hospice Care, Community Based | 705 Arena Dr, Viroqua, WI 54665-2059 | 2006-02-09 |
1992701031 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2005-06-23 |
1497750921 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2005-06-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | VERNON MEMORIAL HEALTHCARE, INC. | 507 S Main St, Viroqua, WI 54665-2059 |
Street Address |
100 MELBY ST |
City | WESTBY |
State | WI |
Zip Code | 54667-1012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467616870 | Sherry L Harris | Nurse Practitioner | 100 Melby St, Westby, WI 54667-1012 | 2008-07-15 |
1821296054 | Joann Fouts | Family Medicine | 100 Melby St, Westby, WI 54667-1012 | 2007-07-10 |
1881701241 | Merry Anna Gajewski | Dentist | 100 Melby St, Westby, WI 54667 | 2006-08-23 |
1508809658 | William N Calkins | General Practice | 100 Melby St, Westby, WI 54667 | 2006-06-14 |
1427047620 | Bernadette Adams | Registered Nurse | 100 Melby St, Westby, WI 54667-0000 | 2005-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109045 | Nichol Davey | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-03-18 |
1467085621 | Dachia Abt | Technician | 52967 Sebion Rd, Westby, WI 54667 | 2020-02-17 |
1942833272 | Mary Tunison | Technician | 52969 Sebion Rd, 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
1730712068 | Kristine L Mowery | Technician | 52969 Sebion Rd., 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
1932758653 | Mary Bakkum | Technician | E 7040 Nyhus Road, Westby, WI 54667 | 2019-09-05 |
1801056262 | Daniel J Iverson | Dentist | 701 S Main St., Westby, WI 54667 | 2008-06-10 |
1437775392 | Aimee J. Harnish | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-06-17 |
1255505277 | Thomas J Gibbons | Dentist | 701 S Main St, Westby, WI 54667 | 2008-04-22 |
1497280218 | Dennis Alfred Malone Jr. | Pharmacist | 211 Ramsland St, Westby, WI 54667-1031 | 2017-04-30 |
1720389018 | Open Door Midwifery, LLC | Clinic/Center | 215 Ramsland St, Westby, WI 54667-1031 | 2010-11-03 |
Find all providers in zip 54667 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.