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Contact Information

MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS, INC.
402 W LAKE ST
FRIENDSHIP, WI53934-9699
 Phone: 608-339-8367
 Fax: 608-339-8330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI # 1811939911
LBN Legal business name MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS, INC.
Authorized official FRANK PEREZ-GUERRA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2006
Last updated 04/16/2025 - More than a year ago
Identifiers
WI License # 5181-42
WI Medicaid 33121200
Other 2112711 PK
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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