OrganizationActiveAccepts Medicare
Ladd Memorial Hospital
NPI 1285926501 · Community/Retail Pharmacy · Osceola, WI
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1285926501
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matt Forge, Chief Executive Officer(715) 294-5622
- License
- 9071-042 (WI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 65th Avenue
Osceola, WI 54020-0218
Phone: (715) 294-4050
Fax: (715) 294-5690
Street-level locationGet directions
Mailing address
Po Box 218
Osceola, WI 54020-0218
Other names (DBA / former)
- Doing business as
- Osceola Clinic Pharmacy
- Doing business as
- Osceola Clinic Pharmacy
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.