| Memorial Medical Center-loyal | |
|
502 E Elm Dr Loyal WI 54446-9604 | |
| (715) 255-8551 | |
| (715) 743-8022 |
| Full Name | Memorial Medical Center-loyal |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 502 E Elm Dr, Loyal, Wisconsin |
| Authorized Official Name and Position | Ryan T Neville (CEO) |
| Authorized Official Contact | 7157438449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Center-loyal 216 Sunset Pl Neillsville WI 54456-1706 Ph: (715) 743-3101 | Memorial Medical Center-loyal 502 E Elm Dr Loyal WI 54446-9604 Ph: (715) 255-8551 |
| NPI Number | 1801270962 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801270962 | NPI | - | NPPES |
| 43051600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Wisconsin) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | 641-23 (Wisconsin) | Secondary |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Elm Dr, Loyal, WI 54446 Phone: 715-255-8551 |