| Memorial Medical Center | |
|
502 E Elm Dr Loyal WI 54446-9604 | |
| (715) 255-8551 | |
| Not Available |
| Full Name | Memorial Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 502 E Elm Dr, Loyal, Wisconsin |
| Authorized Official Name and Position | Scott Polenz (ADMINISTRATOR) |
| Authorized Official Contact | 7157433101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Center 216 Sunset Pl Neillsville WI 54456-1706 Ph: (715) 743-3101 | Memorial Medical Center 502 E Elm Dr Loyal WI 54446-9604 Ph: (715) 255-8551 |
| NPI Number | 1376532713 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376532713 | NPI | - | NPPES |
| 43051600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Memorial Medical Center-loyal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Elm Dr, Loyal, WI 54446 Phone: 715-255-8551 Fax: 715-743-8022 |