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WAUPUN MEMORIAL HOSPITAL NPI 1528046737


NPI Information

NPI: 1528046737
Provider Name: WAUPUN MEMORIAL HOSPITAL

Doing Business As: WAUPUN MEMORIAL HOSPITAL SWINGBED

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 52D0869907

Address:
620 W BROWN ST
WAUPUN, WI
ZIP 53963
Phone: (920) 324-5581
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WAUPUN MEMORIAL HOSPITAL is a medicare defined swing bed unit in Waupun, WI. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. WAUPUN MEMORIAL HOSPITAL NPI is 1528046737. The provider is registered as an organization entity type.
The provider Is Doing Business As Waupun Memorial Hospital Swingbed.

The provider's business location address is:

620 W BROWN ST
WAUPUN, WI
ZIP 53963-702
Phone: (920) 324-5581
Fax: (920) 926-8885

The provider's authorized official is Bonnie R Schmitz .
The authorized official title is Cfo and has the following contact phone number (920) 926-4480.

The CLIA number assigned to this NPI record is 52D0869907 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 3/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101160OTHERWISCONSINVESTICA
211008100MEDICAIDWISCONSIN
3Z3OTHERWISCONSINDEAN CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.