MEMORIAL HOSPITAL, INC. (NPI# 1497056055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497056055 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL, INC. |
| Other Organization Name | MEMORIAL MEDICAL CENTER SUNSET GARDENS |
| Practice Address |
216 Sunset Pl Neillsville WI 54456-1706 |
| Practice Telephone | 7157433101 |
| Practice Fax Number | 7157436242 |
| Mailing Telephone | 7157433101 |
| Mailing Fax Number | 7157436242 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |
| Authorized Official Name | SCOTT POLENZ (ADMINISTRATOR) |
| Authorized Official Telephone | 7157433101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 0013488 | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| MEMORIAL MEDICAL CENTER SUNSET GARDENS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782096 | Memorial Hospital, Inc. | Home Health | 705 C Street, Ceredo, WV 25507 | 2006-07-17 |
| 1891720348 | Memorial Hospital, Inc. | Home Health | 155 E 2nd Ave, Williamson, WV 25661-3601 | 2006-07-12 |
| 1902839293 | Memorial Hospital, Inc. | Home Health | 149 Health Care Ln, Jellico, TN 37762-4433 | 2006-07-09 |
| 1376532713 | Memorial Hospital, Inc. | Clinic/Center | 502 E Elm Dr, Loyal, WI 54446-9604 | 2005-10-18 |
| 1457999476 | Memorial Hospital, Inc. | Clinic/Center | 102 W Cannery St, Greenwood, WI 54437-9705 | 2019-12-20 |
| 1760020838 | Memorial Hospital, Inc. | Clinic/Center | 212800 Stainless Ave, Stratford, WI 54484-4325 | 2019-12-19 |
| 1780222844 | Memorial Hospital, Inc. | Clinic/Center | 111 Dehne Dr, Colby, WI 54421-9581 | 2019-12-19 |
| 1881112134 | Memorial Hospital, Inc. | Clinic/Center | 145 Orchard St, Oneida, KY 40972 | 2017-09-07 |
| 1902208267 | Memorial Hospital, Inc. | Pediatrics | 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 | 2014-09-18 |
| 1962803460 | Memorial Hospital, Inc. | Clinic/Center | 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 | 2014-09-16 |
| Street Address |
216 SUNSET PL |
| City | NEILLSVILLE |
| State | WI |
| Zip Code | 54456-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431843 | Donald George Hayward | Physician Assistant | 216 Sunset Pl, Memorial Medical Center, Neillsville, WI 54456-1706 | 2005-10-18 |
| 1699398628 | Kimberly L Henry | Occupational Therapy Assistant | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2020-05-26 |
| 1588299044 | Emily Ann Coates | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2020-03-05 |
| 1972142925 | Amanda Christine Malyuk | Nurse Practitioner | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-12-22 |
| 1518527134 | Taryn Loos | Physical Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-06-17 |
| 1093374084 | Jordyn Dean Pieper | Family Medicine | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-06-12 |
| 1003365958 | Kathryn Pittz | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2016-10-03 |
| 1437608304 | Benjamin Mohr | Dietitian, Registered | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2016-10-03 |
| 1821472986 | Memorial Hospital Inc | Non-Pharmacy Dispensing Site | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2015-07-17 |
| 1720478159 | Barry Jakel | Physical Therapy Assistant | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504840 | Wendy Langreck | Physical Therapy Assistant | N4036 Marg Ave, Neillsville, WI 54456 | 2017-05-08 |
| 1023442084 | Kayla E Martin | Physical Therapist | Marshfield Medical Center- Neillsville, 216 Sunset Place, Neillsville, WI 54456 | 2013-08-27 |
| 1942553136 | Nicole Renee Symons | Occupational Therapy Assistant | 316 Sunset Pl, Neillsville, WI 54456 | 2012-10-25 |
| 1679883433 | Sandra Lee Back | Registered Nurse | 1402 Hewett St, Neillsville, WI 54456 | 2010-10-14 |
| 1497967301 | Abby Vans Inc. | Non-emergency Medical Transport (VAN) | W5621 Todd Road, Neillsville, WI 54456 | 2007-05-04 |
| 1487637823 | Linda L Kyser | Dietitian, Registered | 216 Sunset Place, Memorial Medical Center Memorial Hospital Inc, Nellsville, WI 54456 | 2005-11-21 |
| 1013017938 | Louis A Benoist | Orthopaedic Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-09-22 |
| 1114955275 | Constante S. Avecilla | Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-06-29 |
| 1992780464 | Memorial Hospital, Inc. | Skilled Nursing Facility | 216 Sunset Place, Memorial Medical Center Health & Rehabilitation, Neillsville, WI 54456 | 2005-12-07 |
| 1295877363 | John Scaletta D.d.s.ltd. | Dentist | 808 West Fifth St., Neillsville, WI 54456-0067 | 2007-02-13 |
| Find all providers in zip 54456 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654534 | Praitie Assisted Living Inc. | Assisted Living Facility | 749 E Oshkosh St, Ripon, WI 54971-1258 | 2020-09-22 |
| 1295340016 | St. Elizabeth Manor, Inc. | Assisted Living Facility | 111 Commercial Dr, Footville, WI 53537 | 2020-09-09 |
| 1730793001 | Zinzendorf Hall, Inc. | Assisted Living Facility | 1047 Hill St, Watertown, WI 53098-3015 | 2020-09-03 |
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1003427766 | Nohc Magnolia Meadows LLC | Assisted Living Facility | 1480 N 7th St, Manitowoc, WI 54220-2012 | 2020-08-14 |
| 1922616580 | Rheuvonia Reed | Assisted Living Facility | 543 E Arbor Cir, Oak Creek, WI 53154-8528 | 2020-07-20 |
| 1912515073 | Baldwin Coh, LLC | Assisted Living Facility | 1880 4th Ave, Baldwin, WI 54002-5134 | 2020-07-15 |
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | NEILLSVILLE |
| Zip Code | 54456 |
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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.