Tri-County Memorial Hospital INC
Clinic/Center in Mondovi, WI. Organization (NPI-2).
NPI number1013748060
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1013748060
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-County Memorial Hospital INC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2024
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Emplify Health (Doing Business As)
Practice location
250 State Road 37Mondovi, WI 54755-2611
Phone 715-538-4361
Mailing address
18601 Lincoln StWhitehall, WI 54773-8605
Phone 715-538-4361
Authorized official
Dan D Coenen
Administrator
7155384361
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