Provider Demographics
NPI:1477146082
Name:STOUGHTON HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:STOUGHTON HOSPITAL ASSOCIATION
Other - Org Name:MCFARLAND URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ABEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-873-2267
Mailing Address - Street 1:900 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-1864
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5614 US HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:MCFARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-8708
Practice Address - Country:US
Practice Address - Phone:608-838-8242
Practice Address - Fax:608-873-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No282NR1301XHospitalsGeneral Acute Care HospitalRural