TRI-COUNTY MEMORIAL HOSPITAL, INC.
NPI 1073335642
Clinic/Center in Independence, WI
About Tri-county Memorial Hospital, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-COUNTY MEMORIAL HOSPITAL, INC. (NPI 1073335642) is a healthcare organization registered as a clinic/center in Independence, Wisconsin and active in the NPI registry since October 2024. The organization holds a CLIA Certificate of Compliance certificate valid through February 15, 2027 and lists Daniel Coenen, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri-county Memorial Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
292Medicare enrollment records show 292 clinicians reassign Medicare billing to Tri-County Memorial Hospital, Inc., which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 38
Nearest to this location (20)
See all 292Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 52D0396909
Tri-County Memorial Hospital · Whitehall, WIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tri-County Memorial Hospital, Inc.'s NPI number?
The NPI number for Tri-County Memorial Hospital, Inc. is 1073335642. It was assigned to this organization in the NPPES registry on October 25, 2024.
Where is Tri-County Memorial Hospital, Inc. located?
Tri-County Memorial Hospital, Inc. is located at 35791 Osseo Rd, Independence, WI 54747. The listed phone number is (715) 985-2351.
What is Tri-County Memorial Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Tri-County Memorial Hospital, Inc. enrolled in Medicare?
Yes. Tri-County Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri-County Memorial Hospital, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 292 clinicians in 38 Medicare specialties reassign their Medicare billing to Tri-County Memorial Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (65), Diagnostic Radiology (44) and Internal Medicine (29). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tri-County Memorial Hospital, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 52D0396909) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tri-County Memorial Hospital, Inc. accept?
Health plans from Aspirus Health Plan list Tri-County Memorial Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tri-County Memorial Hospital, Inc. was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tri-County Memorial Hospital, Inc. · NPI 1073335642
Clinic/Center organization in Independence, Wisconsin. Organization record, active in the CMS NPPES registry since October 25, 2024.
## Identity
- **NPI:** 1073335642 (Entity type: Organization)
- **Enumerated:** October 25, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** Yes (part of Tri-County Memorial Hospital Inc)
- **Authorized official:** Daniel Coenen, ADMINISTRATOR
## Practice location
- **Address:** 35791 OSSEO RD, Independence, WI 54747-9096
- **Phone:** (715) 985-2351 · **Fax:** (715) 985-3880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 292 clinicians in 38 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (65), Diagnostic Radiology (44), Internal Medicine (29); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1073335642/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073335642) · Data from the CMS NPPES public registry.