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Contact Information

WATERTOWN MEMORIAL HOSPITAL ASSOCIATION INC
125 HOSPITAL DR
WATERTOWN, WI53098-3303
 Phone: 920-262-4393
 Fax: 920-262-4607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WATERTOWN MEMORIAL HOSPITAL ASSOCIATION INC

NPI Number 1679632996
LBN Legal business name WATERTOWN MEMORIAL HOSPITAL ASSOCIATION INC
Authorized official JOHN SCHLOEMER - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 05/12/2010 - About 16 years ago
Identifiers
WI License # 5450
WI Medicaid 11015400
Other 5123928 NCPDP PROVIDER IDENTIFICATION NUMBER
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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