| Tri-county Memorial Hospital, Inc. | |
|
35791 Osseo Rd Independence WI 54747-9096 | |
| (715) 985-2351 | |
| (715) 985-3880 |
| Full Name | Tri-county Memorial Hospital, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 35791 Osseo Rd, Independence, Wisconsin |
| Authorized Official Name and Position | Roxane Kay Schleich (CFO, REGIONAL) |
| Authorized Official Contact | 6087753839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Memorial Hospital, Inc. 18601 Lincoln St Whitehall WI 54773-8605 Ph: (715) 538-4361 | Tri-county Memorial Hospital, Inc. 35791 Osseo Rd Independence WI 54747-9096 Ph: (715) 985-2351 |
| NPI Number | 1285988733 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/03/2018 |
| Medicare PECOS PAC ID | 4587642418 |
|---|---|
| Medicare Enrollment ID | O20130129000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285988733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Wisconsin) | Primary |
Gl Independence Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35791 Osseo Rd, Independence, WI 54747 Phone: 608-782-7300 |