MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS, INC. (NPI# 1811939911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811939911 |
| Entity Type | Organization |
| Organization Name | MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS, INC. |
| Other Organization Name | GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS, INC. |
| Practice Address |
402 W Lake St Friendship WI 53934-9699 |
| Mailing Address |
402 W Lake St P.o. Box 40 Friendship WI 53934-9699 |
| Practice Telephone | 6083398367 |
| Practice Fax Number | 6083398330 |
| Mailing Telephone | 6083398367 |
| Mailing Fax Number | 6083398330 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | DAVID SHAPIRO (PHCY DIR) |
| Authorized Official Telephone | 6083398367 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5181-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2112711 | 01 | |
| WI | 33121200 | 05 |
| Other Name | Type Code |
|---|---|
| Gundersen Moundview Hospital and Clinics, Inc. | Doing Business As Name - Organization |
| MOUNDVIEW MEMORIAL HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
402 W LAKE ST |
| City | FRIENDSHIP |
| State | WI |
| Zip Code | 53934-9699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446492 | Stephen Charles Paulk | Specialist | 402 W Lake St, Friendship, WI 53934-9699 | 2005-09-06 |
| 1336621440 | Jessica Marie Johnson | Nurse Practitioner | 402 W Lake St, Friendship, WI 53934-9699 | 2018-09-05 |
| 1235646654 | Deena Marie Kedrowski | Pharmacist | 402 W Lake St, Friendship, WI 53934-9699 | 2018-01-08 |
| 1104374867 | Virginia Lee Batie | Registered Nurse | 402 W Lake St, Friendship, WI 53934-9699 | 2016-09-12 |
| 1740733617 | Barbara Theisen | Registered Nurse | 402 W Lake St, Friendship, WI 53934-9699 | 2016-07-27 |
| 1861879462 | Heather Jean Greiling | Nurse Practitioner | 402 W Lake St, Friendship, WI 53934-9699 | 2015-05-03 |
| 1184966509 | David L Rebedew | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2013-03-24 |
| 1093051617 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 402 W Lake St, Friendship, WI 53934-9699 | 2012-12-31 |
| 1992968291 | Danielle M Hill | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2008-07-07 |
| 1255513529 | Perry S Damian | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2007-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234837 | Gundersen Clinic Ltd | Optometrist | 402a W Lake St, Friendship, WI 53934 | 2018-05-09 |
| 1780972174 | Emily Burzynski Clark | Speech-Language Pathologist | 210 S. Park St, Friendship, WI 53934 | 2011-07-19 |
| 1942492459 | Gene P. Wegner, Sc | Radiology | 302 W Lake Street, Friendship, WI 53934 | 2007-08-17 |
| 1962560334 | Moundview Memorial Hospital & Clinics, Inc. | Clinic/Center | 402 W. Lake St., Friendship, WI 53934 | 2006-12-05 |
| 1982770723 | Sheryl J. Obernberger | Nurse Practitioner | 402 West Lake St., Friendship, WI 53934 | 2006-11-24 |
| 1992894927 | Robert J Schindlbeck | Dentist | 320 W Lake St, Friendship, WI 53934 | 2006-10-11 |
| 1336173095 | Roche A Cri Clinic Sc | Family Medicine | 302 W. Lake St., Friendship, WI 53934 | 2006-07-10 |
| 1174514699 | Ann M Anderson | Nurse Practitioner | 302 West Lake St, Friendship, WI 53934 | 2005-11-03 |
| 1801881388 | Mark E Hatton | Family Medicine | 402 West Lake Street, Friendship, WI 53934 | 2005-09-12 |
| 1780064956 | Andrew Schmitz | Counselor | 302 W Lake St, Friendship, WI 53934 | 2015-06-03 |
| Find all providers in zip 53934 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1336394717 | Bhs Central Pharmacy | Pharmacy | 208 S West St, Waupun, WI 53963-1629 | 2008-11-26 |
| 1861905846 | Prairie Ridge Health, Inc. | Pharmacy | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-11-13 |
| 1932595972 | County of Milwaukee | Pharmacy | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2015-04-07 |
| 1538317441 | Richland Hospital | Pharmacy | 333 E 2nd St, Richland Center, WI 53581-1914 | 2008-09-04 |
| 1902062540 | The Monroe Clinic, Inc. | Pharmacy | 515 22nd Ave, Monroe, WI 53566-1569 | 2008-08-04 |
| 1265562136 | Aspirus Wausau Hospital, Inc | Pharmacy | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2007-03-07 |
| 1174658926 | Rusk County Memorial Hospital Pharmacy | Pharmacy | 900 College Ave W, Ladysmith, WI 54848-2116 | 2007-02-22 |
| 1790831576 | Beloit Memorial Hospital | Pharmacy | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2007-01-26 |
| 1134286537 | Tri-county Memorial Hospital Inc | Pharmacy | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | FRIENDSHIP |
| Zip Code | 53934 |
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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.