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WAUPUN MEMORIAL HOSPITAL SWINGBED
NPI 1528046737
Medicare Defined Swing Bed Unit in Waupun, WI

Active since January 06, 2006CLIA 52D0869907 · Waiver
620 W BROWN ST, WAUPUN, WI 53963(920) 324-5581(920) 926-8885 Get Directions Write a Review

NPPES record last updated: March 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waupun Memorial Hospital Swingbed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAUPUN MEMORIAL HOSPITAL SWINGBED (NPI 1528046737) is a healthcare organization registered as a medicare defined swing bed unit in Waupun, Wisconsin and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bonnie R Schmitz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528046737
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameWAUPUN MEMORIAL HOSPITAL
Location Address620 W BROWN STWaupun, WI 53963-1702
Mailing Address620 W Brown StWaupun, WI 53963-1702 · (920) 324-5581 · Fax (920) 926-8885
Phone(920) 324-5581
Fax(920) 926-8885
Organization SubpartNo
Authorized OfficialBonnie R SchmitzCfo · (920) 926-4480
Enumeration DateJanuary 6, 2006
Last NPPES UpdateMarch 12, 2022
NPPES CertifiedMarch 12, 2022
✔ NPI 1528046737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
620 W BROWN ST, Waupun, WI 53963
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Other Names 2

Doing Business AsWaupun Memorial Hospital Swingbed
Doing Business AsSsm Health Waupun Memorial Hospital

Other Identifiers 3

Other101160WI · Vestica
Medicaid11008100WI
OtherZ3WI · Dean Care

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 Waiver 52D0869907

Waupun Memorial Hospital Nursing · Waupun, WI
Active · expires Aug 31, 2026
CLIA Number52D0869907
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Nidhi Kumar
Laboratory Phone(920) 324-5581
Laboratory LocationWaupun Memorial Hospital Nursing620 West Brown St, Waupun, WI 53963
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACE LACHAPELLE DPT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-5581
KOURTNEY KAYE LECHNER ULLRICH MS LPC
Counselor (Mental Health)
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 926-4200
MRS. LESLIE LYNN SCHWEITZER CRNA
Nurse Anesthetist, Certified Registered
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-5581
BARBARA E SCHMITT PT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-6544
KAZOUA KUE
Social Worker (Clinical)
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-7600
KATY E MENTELL PT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-6544
YVES-MARIO PIVERGER MD
Family Medicine
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-5581
JANELLE GOBELI DPT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-6544

Frequently 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 Waupun Memorial Hospital's NPI number?

The NPI number for Waupun Memorial Hospital is 1528046737. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider is doing business as Waupun Memorial Hospital Swingbed and SSM Health Waupun Memorial Hospital.

Where is Waupun Memorial Hospital located?

Waupun Memorial Hospital is located at 620 W Brown St, Waupun, WI 53963. The listed phone number is (920) 324-5581.

What is Waupun Memorial Hospital's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Waupun Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0869907) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Waupun Memorial Hospital was last updated on March 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.