National Provider Identifier Database

MOUNDVIEW MEMORIAL HOSPITAL CLINICS INC
Rural Health


Contact Information

MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
402 W. LAKE ST.
FRIENDSHIP, WI53934
Phone: 608-339-3331
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.

NPI Number 1962560334
Legal business name
LBN
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
Authorized official FRANK PEREZ-GUERRA - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 12/05/2006
Last updated 04/16/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 43061300
  • WI Other: CR0660 MEDICARE RAILROAD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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