TRI-COUNTY MEMORIAL HOSPITAL, INC. (NPI# 1801086483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801086483 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY MEMORIAL HOSPITAL, INC. |
| Practice Address |
18601 Lincoln St Whitehall WI 54773-8605 |
| Practice Telephone | 7155381709 |
| Practice Fax Number | 7155384343 |
| Mailing Telephone | 7155381709 |
| Mailing Fax Number | 7155384343 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-11-03 |
| Authorized Official Name | ROXANE KAY SCHLEICH (CFO, REGIONAL) |
| Authorized Official Telephone | 6087753839 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-COUNTY MEMORIAL HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1156 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20132900 | 05 |
| Other Name | Type Code |
|---|---|
| Tri-County Memorial Hospital Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417201864 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2012-11-07 |
| 1285988733 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2012-11-06 |
| 1659625192 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 420 S Peterson Ave, Blair, WI 54616-8861 | 2012-11-06 |
| 1124063573 | Tri-county Memorial Hospital, Inc. | General Acute Care Hospital | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2006-06-19 |
| Street Address |
18601 LINCOLN ST |
| City | WHITEHALL |
| State | WI |
| Zip Code | 54773-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446841 | Douglas B Moericke | Physician Assistant | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2005-06-13 |
| 1346807294 | Caitlin Marie Luttropp | Physician Assistant | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2019-05-28 |
| 1952880338 | Kelly Jean Pronschinske | Physical Therapist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2018-08-07 |
| 1689160681 | Erika Ann Suchla | Dietitian, Registered | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2018-07-03 |
| 1013394717 | Matthew R Mueller | Nurse Anesthetist, Certified Registered | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2015-05-01 |
| 1548693963 | Kari Marie Baumel | Occupational Therapy Assistant | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2013-08-21 |
| 1972936433 | Allison Koranda | Physical Therapist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2013-08-19 |
| 1982944138 | Stacy Ann Heath | Speech-Language Pathologist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2013-02-26 |
| 1558606939 | Gundersen Clinic Ltd | Clinic/Center | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2012-12-11 |
| 1487998936 | Loren Ray Carrell | Pharmacist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2012-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 1184878324 | Trempealeau County Health Dept. | Public Health or Welfare | 36245 Main St., Whitehall, WI 54773 | 2008-11-14 |
| 1548434822 | Whitehall School District | Local Education Agency (LEA) | 19121 Hobson Street, Whitehall, WI 54773 | 2008-04-17 |
| 1972724136 | Kimberley Lenning | Counselor | W20209 State Road 121, Whitehall, WI 54773 | 2007-05-02 |
| 1508033184 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1689841264 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1992972905 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-09 |
| 1316095409 | Jeffrey J. Matthews | Dentist | 36220 Tower Dr, Whitehall, WI 54773-0005 | 2007-01-08 |
| 1386000487 | Trempealeau County Human Services | Home Delivered Meals | 36245 Main Street, Whitehall, WI 54773-0067 | 2016-01-06 |
| 1942424064 | Trempealeau County Department of Human Services | Case Management | 36245 Main St, Whitehall, WI 54773-0067 | 2007-04-12 |
| Find all providers in zip 54773 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871693846 | Whitehall Leasing Corp | Skilled Nursing Facility | 4805 Langley Ave, Whitehall, OH 43213-6125 | 2006-09-22 |
| 1376584086 | Heartland of Whitehall Mi LLC | Skilled Nursing Facility | 916 E Lewis St, Whitehall, MI 49461-1699 | 2006-06-10 |
| 1326005638 | County of Trempealeau | Skilled Nursing Facility | W20298 State Road 121, Whitehall, WI 54773-9685 | 2006-04-28 |
| 1790767226 | Bible Fellowship Church Homes, Inc. | Skilled Nursing Facility | 3000 Fellowship Dr, Whitehall, PA 18052-3343 | 2005-11-18 |
| 1023576303 | Majestic Care of Whitehall LLC | Skilled Nursing Facility | 4805 Langley Ave, Whitehall, OH 43213-6125 | 2019-03-06 |
| 1154810794 | Whitehall Snf, LLC | Skilled Nursing Facility | 916 E Lewis St, Whitehall, MI 49461-1699 | 2018-05-09 |
| 1841551488 | Shg Whitehall Holdings, LLC | Skilled Nursing Facility | 4805 Langley Ave, Whitehall, OH 43213-6125 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
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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.