OrganizationActive
Fort Memorial Hospital
NPI 1376680330 · Non-Pharmacy Dispensing Site · Fort Atkinson, WI
Provider details
- NPI number
- 1376680330
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Ronald Meyer, Medical Director(952) 653-2528
Specialties & taxonomies
Suppliers
Practice location
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone: (952) 653-2528
Approximate (ZIP-level) locationGet directions
Mailing address
6501 City West Pkwy
Eden Prairie, MN 55344-3248
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.