| Prairie Du Chien Memorial Hospital Assoc Inc | |
|
1800 Bronson Blvd Fennimore WI 53809-9778 | |
| (608) 822-2940 | |
| (608) 822-2949 |
| Full Name | Prairie Du Chien Memorial Hospital Assoc Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Bronson Blvd, Fennimore, Wisconsin |
| Authorized Official Name and Position | Chris Brophy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6083572000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Du Chien Memorial Hospital Assoc Inc 1800 Bronson Blvd Fennimore WI 53809-9778 Ph: (608) 822-2940 | Prairie Du Chien Memorial Hospital Assoc Inc 1800 Bronson Blvd Fennimore WI 53809-9778 Ph: (608) 822-2940 |
| NPI Number | 1760808968 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 08/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760808968 | NPI | - | NPPES |
| 1619024197 | Medicaid | WI | |
| 1619024197 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HSAT-7QXLRW (Wisconsin) | Primary |
High Point Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Lafollette St, Fennimore, WI 53809 Phone: 608-822-3363 Fax: 866-560-8783 | |
Memorial Hospital Of Boscobel Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Lincoln Ave, Fennimore, WI 53809 Phone: 608-822-3737 | |
Grant Regional Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Lafollette St, Fennimore, WI 53809 Phone: 608-723-2131 |