LADD MEMORIAL HOSPITAL (NPI# 1801394549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801394549 |
Entity Type | Organization |
Organization Name | LADD MEMORIAL HOSPITAL |
Other Organization Name | OSCEOLA MEDICAL CENTER OSCEOLA CLINIC |
Practice Address |
2600 65th Ave Osceola WI 54020-4370 |
Mailing Address |
Po Box 218 Osceola WI 54020-0218 |
Practice Telephone | 7152942111 |
Practice Fax Number | 7152945758 |
Mailing Telephone | 7152942111 |
Enumeration Date | 2018-01-29 |
Last Update Date | 2020-01-10 |
Authorized Official Name | MATT FORGE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7152945622 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
1021 | WI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Osceola Medical Center Osceola Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700195542 | Ladd Memorial Hospital | Clinic/Center | 21150 Ozark Ave N, Scandia, MN 55073-9447 | 2010-09-28 |
1184841561 | Ladd Memorial Hospital | Pharmacy | 301 River St., Osceola, WI 54020 | 2007-04-19 |
1285926501 | Ladd Memorial Hospital | Pharmacy | 2600 65th Avenue, Osceola, WI 54020-0218 | 2011-05-04 |
1467560227 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2006-08-29 |
Street Address |
2600 65TH AVE |
City | OSCEOLA |
State | WI |
Zip Code | 54020-4370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124071865 | Kamil N. Sayegh | Internal Medicine | 2600 65th Ave, Osceola, WI 54020 | 2006-05-17 |
1609437607 | Robert Seiberlich | Physical Therapist | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-06-21 |
1891259743 | William James Ryan | Physician Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-01-24 |
1376029017 | Justin Himes | Pharmacist | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-07-16 |
1336634377 | Mary Elizabeth Gustafson | Pharmacist | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-06-22 |
1811429566 | Heather Kaye Ross | Occupational Therapy Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2017-03-31 |
1477905362 | Rochelle Manik Catherine Samarasekera | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-07-05 |
1578917316 | Tony Huy Tien Nguyen | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-04-18 |
1295196848 | Nathan Delovely | Specialist/Technologist | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-03-10 |
1043675614 | Chelsea O'brien | Dietitian, Registered | 2600 65th Ave, Osceola, WI 54020-4370 | 2015-12-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
1780177840 | Joseph John Clymer | Social Worker | 405 Delmar Ave, Osceola, WI 54020 | 2018-06-12 |
1811401763 | Tiffany Morris | Acupuncturist | 207 N Cascade St, Osceola, WI 54020 | 2017-11-29 |
1255842779 | Olson Cc Wellness LLC | Chiropractor | 307 N Cascade Street, Osceola, WI 54020 | 2017-10-24 |
1396266599 | Danelle Mortenson | Counselor | 204 3rd Ave., Suite 100, Osceola, WI 54020 | 2017-06-28 |
1306200076 | Wendy Field | Registered Nurse | 2789 Cloutier Ct, Osceola, WI 54020 | 2016-04-08 |
1023391877 | Christian Community Home of Osceola, Inc. | Skilled Nursing Facility | 2650 65th Ave, Osceola, WI 54020 | 2011-09-27 |
1073768602 | Jamie J Mason | Marriage & Family Therapist | 204 3rd Ave W, Suite 100, Osceola, WI 54020 | 2008-11-24 |
1710137963 | Michelle Lynn Thoen | Counselor | 307 N Cascade St, Third Floor, Osceola, WI 54020 | 2008-09-24 |
1457533903 | School District of Osceola | Local Education Agency (LEA) | 331 Middle School Dr, Osceola, WI 54020 | 2007-11-27 |
Find all providers in zip 54020 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
1861609570 | Sumner R Cullom M D P A | Clinic/Center | 700 W Keiser Ave, Osceola, AR 72370-3506 | 2007-05-16 |
1396827804 | St. Clair County Hospital District No. 1 | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2006-10-20 |
1073129755 | Mississippi County Hospital System | Clinic/Center | 602 W Union Ave Ste B, Osceola, AR 72370-3022 | 2020-09-18 |
1578961454 | Citizens Memorial Healthcare | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2014-12-09 |
1689973620 | Osceola Rural Health Clinic LLC | Clinic/Center | 101 Giesler Drive, Osceola, MO 64776-6297 | 2011-03-16 |
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1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
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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.