| Stoughton Hospital Association | |
|
900 Ridge St Stoughton WI 53589-1864 | |
| (608) 873-6611 | |
| (608) 873-2255 |
| Full Name | Stoughton Hospital Association |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 900 Ridge St, Stoughton, Wisconsin |
| Authorized Official Name and Position | Daniel C Degroot (PRESIDENT) |
| Authorized Official Contact | 6088732250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoughton Hospital Association 900 Ridge St Stoughton WI 53589-1864 Ph: (608) 873-6611 | Stoughton Hospital Association 900 Ridge St Stoughton WI 53589-1864 Ph: (608) 873-6611 |
| NPI Number | 1437296456 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/21/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 7012825706 |
|---|---|
| Medicare Enrollment ID | O20100106000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437296456 | NPI | - | NPPES |
| 11007200 | Medicaid | WI | |
| 11007210 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Wisconsin) | Primary |
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