| NPI | 1104953090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S JOHN C RN A 920-450-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: WI 054142) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |