| 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 | Christopher Brophy (CEO) |
| 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 | 04/30/2026 |
| Certification Date | 04/30/2026 |
| 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 |
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