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Contact Information

MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
402 W. LAKE ST.
FRIENDSHIP, WI53934
 Phone: 608-339-3331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Clinic/Center

261Q00000X
Indicates primary specialty

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

NPI Number 1962560334
LBN Legal business name MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
Authorized official FRANK PEREZ-GUERRA - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/05/2006
Last updated 04/16/2025 - More than a year ago
Identifiers
WI Medicaid 43061300
WI Other CR0660 MEDICARE RAILROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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