Embed Size (px)
Citation preview
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU15213091014
25CAH43061300
FRIENDSHIP, WI 53934402 W LAKE STMOUNDVIEW MEMORIAL HOSPITAL AND CLINICS
ADAMS
HEINZ, DONALD(608)339-9385(608)339-3331
NO04/01/2001
BRONIEC, DIANA
SOUTHERNBRONIEC, DIANA
JUNE
HSPLACU635213591065
35CAH11019500
ASHLAND, WI 548061615 MAPLE LANEMEMORIAL MEDICAL CENTER
ASHLAND
DOUGLAS, JASON(715)685-4022(715)685-5500
YES10/01/2007
TUTTLE, KATHY
NORTHERNHANSEN, KAREN
SEPTEMBER
HSPLACU85213151018
25CAH11016200
BARRON, WI 548121222 E WOODLAND AVEMAYO CLINIC HEALTH SYSTEM-NORTHLAND
BARRON
HELMERS, RICHARD(715)537-6902(715)537-3186
YES09/01/2001
MILLER, LORI
DECEMBER
HSPLACU2175213531058
25CAH11011600
CUMBERLAND, WI 548291110 7TH AVENUECUMBERLAND MEMORIAL HOSPITAL
BARRON
GUTSCH, MICHAEL(715)822-6299(715)822-2741
YES08/19/2005
LINDBERG, ROBERT
WESTERNLINDBERG, ROBERT
JUNE
1*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU5252001182
40ACUTE11006900
RICE LAKE, WI 548681700 WEST STOUT STREETLAKEVIEW MEDICAL CENTER
BARRON
GROSETH, BRADLEY(715)236-6342(715)234-1515
YES07/01/1966WESTERN
OLSON, JOHNJOHNSON, SHERRY
SEPTEMBER
HSPLACU142520193301
167ACUTE11023500
GREEN BAY, WI 543112845 GREENBRIER RDAURORA BAYCARE MEDICAL CTR
BROWN
MEYER, DANIEL (920)288-8000
YES11/15/2001
SCHROEDER, HEATHER
NORTHEASTERNJERDEE, AMY
DECEMBER
HSPLACU11520049147
244ACUTE11010200
GREEN BAY, WI 54305744 S WEBSTER AVEBELLIN MEMORIAL HOSPITAL
BROWN
KERWIN, GEORGE(920)433-3707(920)433-3500
YES07/01/1966
HIEB, LAURA
NORTHEASTERNWOLESKE, CHRISTINE
SEPTEMBER
HSPLPSY1524038263
80PSYCH10065900
GREEN BAY, WI 54301301 E ST JOSEPH STBELLIN PSYCHIATRIC CENTER
BROWN
BAENEN, SHARLA(920)437-0533(920)433-3630
YES08/29/1990
MALAKAR, CRYSTAL
NORTHEASTERNWOLESKE, CHRIS
2*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLPSY2524014213
16PSYCH10064500
GREEN BAY, WI 543113150 GERSHWIN DRIVEBROWN COUNTY COMMUNITY TREATMENT CTR
BROWN
SCHUBERT, LUCAS(920)391-4872(920)391-4700
NO11/05/1969
WOODWARD, AMANDA
NORTHEASTERN
DECEMBER
HSPSAT001
259
24SATELLITE10065600
GREEN BAY, WI 543031701 DOUSMAN STLIBERTAS GREEN BAY
BROWN
CHARLIER, BRIAN(920)496-2027(920)498-8600
YESHAFEMAN, PAULA
NORTHEASTERNDOXTATOR, ELAINE
JUNE
HSPLACU11252009718
158ACUTE11013800
GREEN BAY, WI 543031726 SHAWANO AVEST MARYS HOSPITAL MEDICAL CTR
BROWN
PANDL, THERESE(920)884-5712(920)498-4200
YES07/01/1966
HAFEMAN, PAULA
NORTHEASTERNCONNERS, LAWRENCE
JUNE
HSPLACU12152007519
517ACUTE11012100
GREEN BAY, WI 54301835 S VAN BUREN STST VINCENT HOSPITAL
BROWN
PANDL, THERESE(920)431-3215(920)433-0111
YES07/01/1966
HAFEMAN, PAULA
NORTHEASTERN
JUNE
3*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLPSY14524041322
72PSYCH
GREEN BAY, WI 543111351 ONTARIO RDWILLOW CREEK BEHAVIORAL HEALTH
BROWN
(901)969-3120(901)969-3100
YES02/27/2017
WILLIAMS, SCOTT
DECEMBER
HSPLACU175213311034
25CAH11016600
GRANTSBURG, WI 54840257 W ST GEORGE AVEBURNETT MEDICAL CENTER
BURNETT
LEWIS, GORDON(715)463-2423(715)463-5353
NO10/01/2003
MOORE, JAMESFAUGHT, CHARLES
SEPTEMBER
HSPLCRI115213171020
25CAH11015300
CHILTON, WI 53014614 MEMORIAL DRIVECALUMET MEDICAL CENTER
CALUMET
DERKS, JENNIFER(920)849-7510(920)849-2386
YES11/02/2001
WEBER, JENNIFER
NORTHEASTERNWEBER, JENNIFER
JUNE
HSPLACU155213141017
25CAH11018500
BLOOMER, WI 547241501 THOMPSON STMAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY
CHIPPEWA
HELMERS, RICHARD(715)568-6196(715)568-2000
YES07/01/2001
MILLER, LORI
DECEMBER
4*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU10152001715
193ACUTE11007500
CHIPPEWA FALLS, WI 547292661 COUNTY HWY IST JOSEPHS HOSPITAL
CHIPPEWA
COFFMAN, JOAN(715)717-1694(715)717-7200
YES07/01/1966
CLARK, ESTELLACLARK, ESTELLA
JUNE
HSPLACU1315213111013
24CAH11006500
STANLEY, WI 547681120 PINE STASCENSION OUR LADY OF VICTORY HOSPITAL
CHIPPEWA
GAPKO, DAWN(715)644-6221(715)644-5571
NO03/07/2001
GAPKO, DAWN
WESTERNMEYER, CAROL
JUNE
HSPLACU625213231026
25CAH11010500
NEILLSVILLE, WI 54456216 SUNSET PLACEMEMORIAL MEDICAL CENTER
CLARK
NEVILLE, RYAN(715)743-8015(715)743-3101
NO08/01/2002
ZILLMAN, SALLY
WESTERNSILBERNAGEL, KELLY
DECEMBER
HSPLACU235213381042
25CAH11012800
COLUMBUS, WI 539251515 PARK AVECOLUMBUS COMMUNITY HOSPITAL
COLUMBIA
RUSSELL, JOHN(920)623-3546(920)623-2200
YES07/01/2004
HENDRIX, JAMIE
SOUTHERNROBERTS, PHILLIP
SEPTEMBER
5*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU2752004180
73ACUTE11009500
PORTAGE, WI 539012817 NEW PINERY ROADDIVINE SAVIOR HEALTHCARE
COLUMBIA
DECKER, MICHAEL(608)742-6098(608)742-4131
YES07/01/1966
BAUMAN, JAN
SOUTHERNBAUMAN, JAN
JUNE
HSPLACU715213301033
25CAH32811100
PRAIRIE DU CHIEN, WI 5382137868 US HWY 18CROSSING RIVERS HEALTH MEDICAL CENTER
CRAWFORD
SEXTON, WILLIAM(608)357-2100(608)357-2000
YES10/01/2003
PRITCHETT, JENNY
WESTERNNELSON, JULIA
DECEMBER
HSPLPSY5524008249
394PSYCH10063400
MADISON, WI 53704301 TROY DRMENDOTA MENTAL HEALTH INSTITUTE
DANE
VAN RYBROEK, GREG(608)301-1390(608)301-1000
YES07/01/1966
VON HADEN, LISA
SOUTHERNLANE, PAUL
JUNE
HSPSAT005
752
22SATELLITE11001700
MADISON, WI 53715202 S PARK STMERITER CHILD AND ADOLESCENT PSYCH HOSPITAL
DANE
JANTY, SUSAN(608)417-5334(608)417-5336
YESGRUNWALD, PAT
SOUTHERNKANE, SHEILA
DECEMBER
6*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU992522008313
58LT11025100
MADISON, WI 53715801 BRAXTON PLACESELECT SPECIALTY HOSPITAL MADISON
DANE
HEIMBACHER, CATHERINE(608)260-2729(608)260-2700
YES06/01/2007
HAMILTON, LATRIS
SOUTHERNHAMILTON, LATRIS
DECEMBER
HSPLACU11152008371
440ACUTE11022900
MADISON, WI 53715700 SOUTH PARK STSSM HEALTH ST MARY'S HOSPITAL - MADISON
DANE
ROZENFELD, JON(608)258-6731(608)251-6100
YES07/01/1966
MALONE, GINGER
SOUTHERNROZENFELD, JON
DECEMBER
HSPLACU66520089248
426ACUTE11001700
MADISON, WI 53715202 S PARK STUNITYPOINT HEALTH - MERITER
DANE
NIZZA, ARTHUR (608)417-6000
YES07/01/1966
GRUNWALD, PAT
SOUTHERN
DECEMBER
HSPLACU127520098125
672ACUTE11022000
MADISON, WI 53792600 HIGHLAND AVENUEUNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
DANE
SLIWINSKI, RONALD(608)265-0709(608)263-7013
YES07/01/1966
HOULAHAN, BETH
SOUTHERNGAILLARD, TIMOTHY
JUNE
7*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
WITH00232529802 TRANSPLANT
MADISON, WI 53792600 HIGHLAND AVEUNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS
DANE
(608)265-5568(608)265-7050
NO09/23/2009
HSPLRHB01523028321
50REHAB
MADISON, WI 537185115 N BILTMORE LNUW HEALTH REHABILITATION HOSPITAL
DANE
RAYMOR, CHARLOTTE(888)780-3389(608)592-8100
YES10/26/2015
LECLAIRE-THOMAS, ANNE
DECEMBER
HSPLACU1225213431046
35CAH11007200
STOUGHTON, WI 53589900 RIDGE STSTOUGHTON HOSPITAL
DANE
BRENNY, TERRENCE(608)873-2315(608)873-6611
YES10/01/2004
FEIDT, TERESA
SOUTHERNMYERS, KAREN
SEPTEMBER
HSPLACU10520076199
125ACUTE11012200
BEAVER DAM, WI 53916707 S UNIVERSITY AVEBEAVER DAM COMMUNITY HOSPITAL
DODGE
MILLER, KIM(920)887-7973(920)887-7181
YES07/01/1966
CATTON, CAROLYN
SOUTHERNCORSO, DAVID
JUNE
8*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU132520116105
95ACUTE11015400
WATERTOWN, WI 53098125 HOSPITAL DRIVEWATERTOWN REGIONAL MEDICAL CENTER
DODGE
KEDDINGTON, RICHARD(920)261-3940(920)261-4210
YES07/01/1966
GARABALDI, ISABELLE
SOUTHERNGRAF, JOHN
DECEMBER
HSPLACU1345213271031
25CAH11008100
WAUPUN, WI 53963620 W BROWN STWAUPUN MEMORIAL HOSPITAL
DODGE
THURMER, DEANN(920)324-2085(920)324-6530
YES02/01/2003
THURMER, DEANN
SOUTHERNLITTLE, STEVE
JUNE
HSPLCRI205213581064
25CAH11018400
STURGEON BAY, WI 54235323 SOUTH 18TH AVENUEDOOR COUNTY MEDICAL CENTER
DOOR
WORRICK, GERALD (920)743-5566
NO06/13/2006
BOES, JODY
NORTHEASTERNSTEPHENS, BRIAN
JUNE
HSPLACU925213291032
25CAH11022400
SUPERIOR, WI 548803500 TOWER AVEESSENTIA HEALTH ST MARY'S HOSPITAL - SUPERIOR
DOUGLAS
JACOBSON, TERRY (715)817-7000
YES08/01/2003
PEARSON, KIM
NORTHERNGARVEY, JIM
JUNE
9*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU685213401044
25CAH11006200
MENOMONIE, WI 547512321 STOUT RDMAYO CLINIC HEALTH SYSTEM-RED CEDAR
DUNN
HELMERS, RICHARD(715)233-7645(715)235-5531
YES07/02/2004
BOSSE, PATTY
DECEMBER
HSPLACU144520196303
13ACUTE11023800
ALTOONA, WI 547201000 OAKLEAF WAYOAKLEAF SURGICAL HOSPITAL
EAU CLAIRE
HARGRAVE-THOMAS, ANNE(715)831-7894(715)831-8130
YES01/12/2002
MAKI, JACQUELYNMAKI, JACQUELYN
DECEMBER
HSPLACU5552007048
304ACUTE11011800
EAU CLAIRE, WI 547031221 WHIPPLE STMAYO CLINIC HEALTH SYSTEM IN EAU CLAIRE
EAU CLAIRE
HELMERS, RICHARD(715)838-3743(715)838-3311
YES07/01/1966
WHITE, PAM
WESTERNMORREY, MICHAEL
DECEMBER
HSPLACU7952001317
344ACUTE11007100
EAU CLAIRE, WI 54701900 W CLAIREMONT AVESACRED HEART HOSPITAL
EAU CLAIRE
MANAS, JULIE(715)717-6076(715)717-4121
YES07/01/1966
BALCITIS, JUDY
WESTERNDEICH, FAYE
JUNE
10*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLPSY4524025231
25PSYCH10062400
FOND DU LAC, WI 54935459 E FIRST STFOND DU LAC COUNTY ACUTE PSYCH UNIT
FOND DU LAC
MUSUNURU, J(920)921-2179(920)929-3500
NO12/17/1980
ERNSER, CONNIE
NORTHEASTERNVANEVEN HOVEN, GERI
DECEMBER
HSPLACU93520088120
146ACUTE11013000
FOND DU LAC, WI 54935430 E DIVISION STST AGNES HOSPITAL
FOND DU LAC
LITTLE, STEVE(920)926-4866(920)929-2300
YES07/01/1966
MUGAN, JAMES
NORTHEASTERNSCHMITZ, BONNIE
JUNE
HSPLACU745213211024
18CAH11013200
RIPON, WI 54971845 PARKSIDE STRIPON MEDICAL CENTER
FOND DU LAC
VERGOS, KATHERINE(920)748-0452(920)748-3101
YES04/01/2002
VERGOS, KATHERINE
NORTHEASTERNLITTLE, STEVE
JUNE
HSPLACU165213441048
25CAH11015200
BOSCOBEL, WI 53805205 PARKER STGUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS
GRANT
HARTBERG, DAVID(608)375-6208(608)375-4112
NO10/01/2004
BRAUDT, THERESA
SOUTHERNDAX, JENNY
DECEMBER
11*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU395213221025
25CAH1941359536
LANCASTER, WI 53813507 S MONROE STGRANT REGIONAL HEALTH CENTER
GRANT
CLAPP, NICOLE(608)723-4464(608)723-2143
YES05/01/2002
RUTKOWSKI, JENNIFER
SOUTHERNBANDY, DAWN
DECEMBER
HSPSAT13
1063
10SATELLITE
PLATTEVILLE, WI 538181185 NORTH ELM STREETSOUTHWEST HEALTH CARE BEHAVIORAL SERVICES
GRANT
ROHRBACH, DAN (608)348-2331
YESHEBGEN, NOELLE
SOUTHERNHEBGEN, NOELLE
HSPLACU2195213541059
25CAH11000600
PLATTEVILLE, WI 538181400 EAST SIDE RDSOUTHWEST HEALTH CENTER
GRANT
ROHRBACH, DAN (608)348-2331
YES11/01/2005
VOSBERG, KARLA
SOUTHERNPASTOR, ROBERT
JUNE
HSPLCRI195213551060
25CAH11011000
BERLIN, WI 54923225 MEMORIAL DRIVETHEDACARE MEDICAL CENTER - BERLIN INC
GREEN LAKE
FEENEY, JOHN(920)361-5579(920)361-1313
YES12/01/2005
MORK, PAM
NORTHEASTERNBENDING, TAMMY
SEPTEMBER
12*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU6752002856
95ACUTE11008400
MONROE, WI 535662005 5TH STREETTHE MONROE CLINIC
GREEN
SANDERS, MICHAEL(608)324-1114(608)324-1000
YES07/01/1966
ELMER, PAULA
SOUTHERNTHOMPSON, MARK
DECEMBER
HSPLACU605213521056
25CAH11008700
DODGEVILLE, WI 53533800 COMPASSION WAYUPLAND HILLS HEALTH
IOWA
SCHNEDLER, LISA(608)930-7250(608)930-8000
YES01/01/2005
HEBGEN, LYNN
SOUTHERNPUSTINA, KARL
SEPTEMBER
HSPLACU145213331037
25CAH11018300
BLACK RIVER FALLS, WI 54615711 W ADAMS STBLACK RIVER MEMORIAL HOSPITAL
JACKSON
WHITE JACOBS, MARY BETH(715)284-1390(715)284-5361
YES02/05/2004
BERGERSON, MELISSA
WESTERNWINN, HOLLY
DECEMBER
HSPLACU31520071133
59ACUTE11011900
FORT ATKINSON, WI 53538611 SHERMAN AVE EFORT MEMORIAL HOSPITAL
JEFFERSON
WALLACE, MICHAEL(920)568-5412(920)568-5000
YES07/01/1966
WEISMANN, MARIE
SOUTHEASTERNNELSON, JAMES
SEPTEMBER
13*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU42520109134
40ACUTE11014700
MAUSTON, WI 539481050 DIVISION STMILE BLUFF MEDICAL CENTER
JUNEAU
O'KEEFE, JAMES(608)847-3881(608)847-6161
YES07/01/1966
SURGUY, JEAN
SOUTHERNSURGUY, JEAN
SEPTEMBER
HSPLACU65201891001
74ACUTE11022500
KENOSHA, WI 5314210400 75TH STAURORA MEDICAL CTR KENOSHA
KENOSHA
KOCH, DOUG(262)948-5828(262)948-5600
YES04/10/1999
JAMIESON, DONNA
SOUTHEASTERN
DECEMBER
HSPLACU4852002122
315ACUTE11007800
KENOSHA, WI 531436308 EIGHTH AVEFROEDTERT SOUTH - KENOSHA MEDICAL CENTER
KENOSHA
SCHMIDT JR, RICHARD(262)653-5852(262)656-2011
YES07/01/1966
VENTURA, SUSAN
SOUTHEASTERNVENTURA, SUSAN
HSPSAT002
305
128SATELLITE11007800
PLEASANT PRAIRIE, WI 531589555 76TH STFROEDTERT SOUTH - ST CATHERINES MEDICAL CENTER
KENOSHA
SCHMIDT JR, RICHARD(262)653-5852(262)577-8000
YESWOHLGEMUTH, LINDA
SOUTHEASTERNWOHLGEMUTH, LINDA
JUNE
14*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU4952008723
325ACUTE11012900
LA CROSSE, WI 546011910 SOUTH AVEGUNDERSEN LUTHERAN MEDICAL CENTER
LA CROSSE
RATHGABER, SCOTT (608)782-7300
YES07/01/1966
SMITH HOUSKAMP, BETHDOLAN, MICHAEL
DECEMBER
HSPLACU3352000424
331ACUTE11006300
LA CROSSE, WI 54601700 WEST AVENUE SOUTHMAYO CLINIC HLTH SYSTEM FRANCISCAN MED CTR
LA CROSSE
JOHNSON, TIMOTHY(608)392-9429(608)785-0940
YES07/01/1966
FRATZKE, JASON
WESTERNKRUSE, JOE
DECEMBER
HSPLACU615213121015
25CAH11014800
DARLINGTON, WI 53530800 CLAY STMEMORIAL HOSPITAL OF LAFAYETTE COUNTY
LAFAYETTE
CHIKOWSKI, JULIE (608)776-4466
NO04/01/2001SOUTHERN
KEUPERS, KATHLEEN
DECEMBER
HSPLACU545213501055
25CAH1841354214
ANTIGO, WI 54409112 E FIFTH AVEASPIRUS LANGLADE HOSPITAL
LANGLADE
BARTH, ANDREW(715)623-9440(715)623-2331
YES02/01/2005
BUNTEN, SHERRYTINCHER, PAT
JUNE
15*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU385213391043
25CAH11007300
MERRILL, WI 54452601 S CENTER AVEASCENSION GOOD SAMARITAN HOSPITAL
LINCOLN
NORMINGTON-SLAY, JEREMY(715)539-2107(715)536-5511
YES07/01/2004
LEININGER, CHERYL
JUNE
HSPLACU805213131016
18CAH11000800
TOMAHAWK, WI 54487401 W MOHAWK DR SUITE 100ASCENSION SACRED HEART HOSPITAL
LINCOLN
ANDERSON, SANDRA(715)453-7716(715)453-7700
NO05/01/2001
VIEGUT, CARMEN
NORTHERNTHEILER, TERI
JUNE
HSPLACU445201077
167ACUTE11014600
MANITOWOC, WI 542212300 WESTERN AVEHOLY FAMILY MEMORIAL
MANITOWOC
HERZOG, MARK(920)320-5129(920)320-2011
YES07/01/1966
RANGE, BONNIE
NORTHEASTERNCURRAN-MEULI, JANE
DECEMBER
HSPLACU12652003485
69ACUTE11008900
TWO RIVERS, WI 542415000 MEMORIAL DRIVEAURORA MEDICAL CTR MANITOWOC COUNTY
MANITOWOC
KOCOUREK, CATHIE(920)794-5487(920)794-5000
YES07/01/1966
BENZ, BETSY
NORTHEASTERNBENZ, BETSY
DECEMBER
16*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU135520030188
325ACUTE11008500
WAUSAU, WI 54401333 PINE RIDGE BLVDASPIRUS WAUSAU HOSPITAL
MARATHON
LENTZ, DARRELL(715)847-2108(715)847-2121
YES07/01/1970NORTHERN
HEYWOOD, MATT
HSPLPSY8524017206
16PSYCH10063700
WAUSAU, WI 544031100 LAKEVIEW DRNORTH CENTRAL HEALTH CARE
MARATHON
LOY, MICHAEL(715)848-2362(715)848-4600
YES01/31/1975NORTHERN
LUCORE, PAT
DECEMBER
HSPLACU150520202310
99ACUTE11024800
WESTON, WI 544763400 MINISTRY PARKWAYASCENSION ST CLARES HOSPITAL
MARATHON
NORMINGTON-SLAY, JEREMY (715)393-3000
YES12/05/2005NORTHERN
YARON, RACHELBAUGHMAN, SHARON
JUNE
HSPLACU9520113155
99ACUTE11001400
MARINETTE, WI 541433100 SHORE DRIVEBAY AREA MEDICAL CENTER
MARINETTE
HARDING, EDWARD(715)735-8083(715)735-6621
YES07/01/1966NORTHEASTERN
VANCOURT, BERNADINE
DECEMBER
17*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPSAT017
320
56SATELLITE
BROWN DEER, WI 532234600 W SCHROEDER DRIVEROGERS MEMORIAL HOSPITAL
MILWAUKEE
KUBICEK, JAMES (414)865-2500
YESMILLER, DIANEMUELLER, PAUL
HSPSAT008
16
275SATELLITE11017200
CUDAHY, WI 531105900 SOUTH LAKE DRIVEAURORA ST LUKES MED CTR SOUTH SHORE
MILWAUKEE
BAUER, JESSICA (414)489-4000
YESMCCLONE, SHANA
SOUTHEASTERNPOTTS, DENNIS
DECEMBER
HSPLACU9935202051070
16ACUTE1861638971
FRANKLIN, WI 5313210101 SOUTH 27TH ST 2ND FLOORMIDWEST ORTHOPEDIC SPECIALTY HOSPITAL
MILWAUKEE
ANDERSEN, TRAVIS(414)325-4511(414)817-5800
YES08/19/2009
GANSEMER, SHEILA
SOUTHEASTERNGANSEMER, SHEILA
DECEMBER
HSPLACU991520204314
52ACUTE1457479552
FRANKLIN, WI 5313210101 SOUTH 27TH STWHEATON FRANCISCAN HEALTHCARE FRANKLIN
MILWAUKEE
ANDERSEN, TRAVIS(414)325-4511(414)325-4500
YES08/22/2008
HAEFLINGER, TIFFANY
SOUTHEASTERNGANSEMER, SHEILA
JUNE
18*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU1405201941006
30ACUTE11023600
GLENDALE, WI 53212475 W RIVER WOODS PKWYORTHOPAEDIC HOSPITAL OF WISCONSIN
MILWAUKEE
CRAMER, BRIAN(414)961-6778(414)961-6800
NO10/12/2001
JOHNSON, NANETTESWIDERSKI, THOMAS
DECEMBER
HSPLACU129522004274
62LT11021400
GREENFIELD, WI 532285017 S 110TH STPAM SPECIALTY HOSPITAL OF MILWAUKEE
MILWAUKEE
CROKER, CARIN(414)529-6656(414)427-8282
YES10/01/1994SOUTHEASTERN
SEPTEMBER
HSPSAT016
74
386SATELLITE11017200
MILWAUKEE, WI 53233945 N 12TH STAURORA SINAI MEDICAL CENTER
MILWAUKEE
BAUER, JESSICA(414)219-7402(414)219-7290
YESHORNER, ANDREA
SOUTHEASTERNPOTTS, DENNIS
DECEMBER
HSPLACU108520138160
938ACUTE11017200
MILWAUKEE, WI 532152900 W OKLAHOMA AVEAURORA ST LUKES MEDICAL CENTER
MILWAUKEE
GOLANOWSKI, MARIE (414)649-6000
YES07/01/1966
VOS, THERESA
SOUTHEASTERNFRANCAVIGLIA, STEVE
DECEMBER
19*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
WITH00233529801 TRANSPLANT
MILWAUKEE, WI 532152900 W OKLAHOMA AVE 5TH FLOOR GALLERIA BUILDINGAURORA ST LUKES MEDICAL CENTER
MILWAUKEE
(414)646-5452(414)646-1865
NO04/24/2009
HSPLACU19523300135
298CHILD11019700
MILWAUKEE, WI 532269000 W WISCONSIN AVECHILDRENS HOSPITAL OF WISCONSIN
MILWAUKEE
TROY, PEGGY(414)266-6409(414)266-2000
YES01/01/1984
KOROM, NANCY
SOUTHEASTERNGORELICK, MARCTURNER, SCOTT
DECEMBER
WITH00240529803 TRANSPLANT
MILWAUKEE, WI 532269000 W WISCONSIN AVEUNECHILDRENS HOSPITAL OF WISCONSIN
MILWAUKEE
(414)266-6409(414)266-2000
NO06/29/2010
HSPLACU11352005153
432ACUTE11010300
MILWAUKEE, WI 532112323 N LAKE DRCOLUMBIA ST MARYS HOSPITAL MILWAUKEE
MILWAUKEE
ELKINS, KELLY(414)585-1444(414)585-1374
YES07/01/1966
MCEWAN, KATHERINE
SOUTHEASTERNBRADLEY, CONNIEERIC, RHODES
JUNE
20*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPSAT010
279
59SATELLITE11000400
MILWAUKEE, WI 532269000 W WISCONSIN AVEFROEDTERT MEMORIAL LUTHERAN HOSPITAL CHW
MILWAUKEE
BUCK, CATHERINE(414)805-7790(414)805-3000
YESBECHTEL, KATHLEEN
SOUTHEASTERNBECHTEL, KATHLEEN
JUNE
HSPLACU35520177232
596ACUTE11000400
MILWAUKEE, WI 532269200 W WISCONSIN AVEFROEDTERT MEMORIAL LUTHERAN HOSPITAL
MILWAUKEE
BUCK, CATHERINE(414)805-8910(414)805-3000
YES09/29/1980
BECHTEL, KATHLEEN
SOUTHEASTERNBECHTEL, KATHLEEN
JUNE
WITH00234529804 TRANSPLANT
MILWAUKEE, WI 532269200 W WISCONSIN AVEFROEDTERT MEMORIAL LUTHERAN HOSPITAL
MILWAUKEE
(414)805-7790(414)805-1979
NO07/21/2010
HSPLPSY6524001229
144PSYCH10062900
MILWAUKEE, WI 532269455 W WATERTOWN PLANK RDMILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION
MILWAUKEE
LAPPEN, MICHAEL(414)257-8018(414)257-5202
NO07/01/1966
OCZUS, LINDA
SOUTHEASTERN
DECEMBER
21*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU81523025165
31REHAB11020000
MILWAUKEE, WI 532112301 N LAKE DRIVE 8TH FLOORSACRED HEART REHABILITATION INSTITUTE
MILWAUKEE
ANDERSON, TRAVIS(866)747-4708(414)585-6700
YES07/01/1984
STAFFILENO, GERRI
SOUTHEASTERNHART, WILLIAM
JUNE
HSPSAT011
304
29SATELLITE11023200
MILWAUKEE, WI 532153237 S 16TH ST, 5TH FLOORSELECT SPEC HOSPITAL - ST FRANCIS
MILWAUKEE
MATTES, DENNIS(414)649-5268(414)649-6991
YESREUTER, JENNIFER
SOUTHEASTERN
DECEMBER
HSPLACU10052013630
538ACUTE11017100
MILWAUKEE, WI 532105000 W CHAMBERS STWHEATON FRANCISCAN - ST JOSEPH
MILWAUKEE
ANDERSEN, TRAVIS(414)874-4393(414)447-2130
YES07/01/1966
PUCCINI, LINDA
SOUTHEASTERNBAUGHMAN, SHARON
JUNE
HSPLACU9852007875
260ACUTE11012400
MILWAUKEE, WI 532153237 S 16TH STWHEATON FRANCISCAN HEALTHCARE ST FRANCIS HOSPITAL
MILWAUKEE
ANDERSEN, TRAVIS(414)647-5565(414)647-5000
YES07/01/1966SOUTHEASTERN
HASSAN, MUSHIR
JUNE
22*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLPSY7524000164
105PSYCH10062800
WAUWATOSA, WI 532131220 DEWEY AVEAURORA PSYCHIATRIC HOSPITAL
MILWAUKEE
CARLSON, PETER(414)454-6450(414)454-6600
YES07/01/1966
LEWISTON, JAMIE
SOUTHEASTERNPOTTS, DENNIS
DECEMBER
HSPLACU136520139149
350ACUTE11017300
WEST ALLIS, WI 532278901 W LINCOLN AVEAURORA WEST ALLIS MEDICAL CENTER
MILWAUKEE
KELLAR, RICHARD(414)328-8536(414)328-6000
YES07/01/1966
GIBBS, KAREN
SOUTHEASTERNFRANCAVIGLIA, STEVE
DECEMBER
HSPSAT012
751
81SATELLITE10066300
WEST ALLIS, WI 5322711101 W LINCOLN AVEROGERS MEMORIAL HOSPITAL MILWAUKEE
MILWAUKEE
MUELLER, PAUL(262)646-3158(414)327-3000
YESBECKER, DEB
SOUTHEASTERNFILLMAN, ORVIN
HSPLACU855220061002
34LT11023200
WEST ALLIS, WI 532278901 W LINCOLN AVE 2ND FLOORSELECT SPECIALTY HOSPITAL MILWAUKEE
MILWAUKEE
MATTES, DENNIS(414)328-7434(414)328-7700
YES10/31/1999
REUTER, JENNIFER
SOUTHEASTERNDODD, ROSE
DECEMBER
23*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLCRI25213051009
25CAH11015900
SPARTA, WI 54656310 W MAIN STMAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA
MONROE
HAWTHORNE, KIM(608)269-4562(608)269-2132
YES04/20/2000
CUNNINGHAM, JANET
SOUTHERNCRENSHAW, BEN
DECEMBER
HSPLACU1245213201023
25CAH11017800
TOMAH, WI 54660321 BUTTS AVETOMAH MEMORIAL HOSPITAL
MONROE
STUART, PHILIP(608)374-0289(608)372-2181
YES04/01/2002
MYHRE, TRACY
WESTERNZEPS, JOE
SEPTEMBER
HSPLACU245213101012
25CAH11014100
OCONTO FALLS, WI 54154855 S MAIN STHSHS ST CLARE MEMORIAL HOSPITAL
OCONTO
PANDL, THERESE(920)846-0250(920)846-3444
NO02/01/2001NORTHEASTERN
HAFEMAN, PAULA
SEPTEMBER
HSPLCRI175213561061
10CAH11024600
OCONTO, WI 54153820 ARBUTUS AVEBELLIN HEALTH OCONTO HOSPITAL
OCONTO
HIEB, LAURA(920)516-7088(920)835-1101
YES11/18/2005
HIEB, LAURA
NORTHEASTERNCORMIER, LAURA
SEPTEMBER
24*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU117520019138
73ACUTE11000700
RHINELANDER, WI 545012251 NORTH SHORE DRASCENSION ST MARYS HOSPITAL
ONEIDA
ANDERSON, SANDRA(715)361-4877(715)361-2000
YES07/01/1966
THIELER, TERI
NORTHERNTHEILER, TERI
JUNE
HSPLACU45520091201
99ACUTE11013300
WOODRUFF, WI 54568240 MAPLE STHOWARD YOUNG MEDICAL CTR
ONEIDA
ANDERSON, SANDRA(715)356-6097(715)356-8000
YES07/01/1966
MONGE, JACQI
NORTHERNOUNGST, LAURIE
SEPTEMBER
HSPLACU9752000988
332ACUTE11006700
APPLETON, WI 549151506 S ONEIDA STST ELIZABETH HOSPITAL
OUTAGAMIE
HILT, MONICA(920)831-8916(920)738-2000
YES07/01/1966
SCHIMMERS, HEATHER
NORTHEASTERNDONATELLE, LAWRENCEHILT, MONICA
JUNE
HSPLACU3520160169
160ACUTE11019000
APPLETON, WI 549111818 N MEADE STTHEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
OUTAGAMIE
BURMEISTER, BRIAN(920)729-3167(920)731-4101
YES07/01/1966
DUNHAM, JAMIE
NORTHEASTERNHALLEH, MARK
DECEMBER
25*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU695213261029
25CAH11010400
NEW LONDON, WI 549611405 MILL STTHEDACARE MEDICAL CENTER NEW LONDON
OUTAGAMIE
SCHMIDT, WILLIAM(920)531-2098(920)531-2000
YES01/01/2003
SCHOOL, PEGGY
NORTHEASTERNSCHOOL, PEGGY
DECEMBER
HSPLACU221520207317
127ACUTE1265740195
GRAFTON, WI 53024975 PORT WASHINGTON ROADAURORA MEDICAL CENTER
OZAUKEE
GRAEBNER, DAVID(262)329-1001(262)329-1000
YES12/20/2010
KABITZKE GROTH, TERRY
SOUTHEASTERN
DECEMBER
HSPLACU139520195300
17ACUTE11023700
MEQUON, WI 5309713125 N PORT WASHINGTON RDCOLUMBIA CENTER
OZAUKEE
CASEY, KAREN(262)243-6672(262)243-7408
NO12/19/2001
CASEY, KAREN
SOUTHEASTERNPORRECA, ANN
JUNE
HSPLACU114520027246
182ACUTE11008300
MEQUON, WI 5309713111 N PORT WASHINGTON RDCOLUMBIA ST MARYS HOSPITAL OZAUKEE
OZAUKEE
ELKINS, KELLY(414)585-1444(414)585-1374
YES07/01/1966
LEROY, RANDAL
SOUTHEASTERNHART, WILLIAM
JUNE
26*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLCRI85213071008
25CAH11000500
DURAND, WI 547361220 3RD AVE WCHIPPEWA VALLEY HOSPITAL
PEPIN
PETERSON, DOUGLAS(715)672-5112(715)672-4211
NO08/01/2000
JACOBSON, ANGELA
DECEMBER
HSPLACU755213491054
25CAH11006800
RIVER FALLS, WI 540221629 E DIVISION STRIVER FALLS AREA HOSPITAL
PIERCE
MILLER, DAVID (715)307-6000
YES01/01/2005
LOESCH, JENNIFER
WESTERNCRAVEN, BRUCE
DECEMBER
HSPSAT014
1069
10SATELLITE
AMERY, WI 54001230 DERONDA STREETAMERY HOSPITAL & CLINIC BEHAVIORAL HEALTH CENTER
POLK
RUDQUIST, DEBRA (715)268-0060
NONUUTINEN, JESS
DECEMBER
HSPLCRI105213081010
25CAH11007600
AMERY, WI 54001265 GRIFFIN STREET EASTAMERY HOSPITAL & CLINIC
POLK
RUDQUIST, DEBRA(715)268-0311(715)268-0300
NO11/02/2000
JENSEN, SANDYSURA, PATRICK
DECEMBER
27*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU505213181021
23CAH11018800
OSCEOLA, WI 540202600 65TH AVENUELADD MEMORIAL HOSPITAL
POLK
GESKERMANN, THOMAS(715)294-3694(715)294-2111
NO01/01/2002
ZIMMER, RACHELDE FOE, MICHAEL
DECEMBER
HSPLACU965213371041
25CAH18416091952
SAINT CROIX FALLS, WI 54024235 STATE STREETST CROIX REGIONAL MEDICAL CENTER
POLK
DOBOSENSKI, DAVE(715)483-0295(715)483-0556
NO04/07/2004
JENSEN, LAURA
WESTERNJENSEN, LAURA
JUNE
HSPLACU119520002146
94ACUTE11006100
STEVENS POINT, WI 54481900 ILLINOIS AVEASCENSION ST MICHAELS HOSPITAL
PORTAGE
NORMINGTON-SLAY, JEREMY(715)346-5088(715)346-5000
YES07/01/1966
SEKERKA, BETH
NORTHERN
SEPTEMBER
HSPLACU305213251028
25CAH11016700
PARK FALLS, WI 5455298 SHERRY AVEFLAMBEAU HOSPITAL
PRICE
BRAUN, JAMES(715)762-7518(715)762-7500
NO10/01/2002
SCHREIBER, ELIZABETH
NORTHERNBRAUN, JAMESEATON-NYMAN, JANE
JUNE
28*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU5952005914
123ACUTE11010900
BURLINGTON, WI 53105252 MCHENRY STAURORA MEMORIAL HOSPITAL BURLINGTON
RACINE
JUST, LISA(262)767-6380(262)767-6545
YES07/01/1966
KORTH, NANCY
SOUTHEASTERN
DECEMBER
HSPLACU116520096123
314ACUTE11013700
RACINE, WI 534053801 SPRING STWHEATON FRANCISCAN HEALTHCARE ALL SAINTS
RACINE
BOLAND, SUSAN(262)687-8039(262)687-4011
YES07/01/1966
QUIMET, MARY
SOUTHEASTERNMASON, PAUL
HSPSAT006
154
239SATELLITE11013700
RACINE, WI 534031320 WISCONSIN AVEWHEATON FRANCISCAN HEALTHCARE ALL SAINTS
RACINE
BOLAND, SUSAN(262)687-8039(262)687-2011
YESOUIMET, MARY
SOUTHEASTERNMASON, PAUL
HSPLACU53522005272
39LT11021300
WATERFORD, WI 531851701 SHARP ROADLAKEVIEW SPECIALTY HOSPITAL & REHAB CENTER
RACINE
AMATO, JERRY(262)534-7257(262)534-7297
YES10/01/1998
BOWSER, AMY
SOUTHERNAMATO, JERRY
DECEMBER
29*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU735213411045
25CAH11015500
RICHLAND CENTER, WI 53581333 E SECOND STRICHLAND HOSPITAL
RICHLAND
ROESLER, BRUCE(608)647-6235(608)647-6321
YES07/08/2004
HANOLD, LUCINDA
SOUTHERNCHICKER, CINDY
DECEMBER
HSPLACU1252010067
256ACUTE11014000
BELOIT, WI 535111969 W HART RDBELOIT MEMORIAL HOSPITAL
ROCK
MCKEVETT, TIM(608)364-5356(608)364-5011
YES07/01/1966
COX, SHARON
SOUTHERNCOX, SHARON
DECEMBER
HSPLACU565213191022
18CAH11008600
EDGERTON, WI 5353411101 N SHERMAN ROADEDGERTON HOSPITAL AND HEALTH SERVICES
ROCK
SCHULTZ, JIM(608)561-6905(608)884-3441
YES01/01/2002
ALWIN-POPP, SUSAN
SOUTHERNROEDER, CHARLES
DECEMBER
HSPLACU64520066162
240ACUTE11011400
JANESVILLE, WI 535481000 MINERAL POINT AVEMERCY HEALTH SYSTEM CORP
ROCK
BEA, JAVON(608)756-6168(608)756-6080
YES07/01/1966
PEARSON, ELIZABETH
SOUTHERN
JUNE
30*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU994520208318
50ACUTE1194004408
JANESVILLE, WI 535463400 EAST RACINE STREETSSM HEALTH ST MARY'S HOSPITAL - JANESVILLE
ROCK
SWANSON, KERRY (608)373-8000
YES01/30/2012
WALCZAK, LAURA
SOUTHERNWALCZAK, LAURA
DECEMBER
HSPLACU785213281030
25CAH11009300
LADYSMITH, WI 54848900 COLLEGE AVE WESTRUSK COUNTY MEMORIAL HOSPITAL
RUSK
OLAND, CHARISSE(715)532-9809(715)532-5561
NO03/01/2003WESTERN
TELITZ, RITAAMBROSE, WENDY
DECEMBER
HSPLACU75213471052
25CAH11016100
BALDWIN, WI 540021100 BERGSLIEN STWESTERN WISCONSIN HEALTH
SAINT CROIX
PAGE, ALISON(715)684-1119(715)684-1111
NO10/01/2004
KETEL, TINALOVDAHL, BRIAN
SEPTEMBER
HSPLACU465213351039
25CAH11018700
HUDSON, WI 54016405 STAGELINE ROADHUDSON HOSPITAL & CLINIC
SAINT CROIX
FURLONG, MARIAN(715)531-6011(715)531-6000
YES05/01/2004
YAEGER, KRISTYJOHNSON, DOUG
DECEMBER
31*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU435213451050
25CAH11008200
NEW RICHMOND, WI 54017535 HOSPITAL RDWESTFIELDS HOSPITAL AND CLINIC
SAINT CROIX
MASSEY, STEVE(715)243-2851(715)243-2600
NO08/01/2004
MCGATH, JOANN
WESTERNLUHRS, JASON
DECEMBER
HSPLACU9552005765
100ACUTE11022800
BARABOO, WI 53913707 14TH STSSM HEALTH ST CLARE HOSPITAL - BARABOO
SAUK
JELLE, LAURA(608)356-1367(608)356-1400
YES07/01/1966
SELLE, GINGER
SOUTHERNJELLE, LAURAWYSOCKI, SCOTT
DECEMBER
HSPLACU84520095122
36ACUTE11013600
PRAIRIE DU SAC, WI 53578260 26TH STREETSAUK PRAIRIE HOSPITAL
SAUK
SCHROEDER, LARRY(608)643-7680(608)643-3311
YES07/01/1966
COLE-OUZOUNIAN, DENISE
SOUTHERNDREGNEY, JAMES
DECEMBER
HSPLACU725213511057
25CAH11001500
REEDSBURG, WI 539592000 N DEWEY AVEREEDSBURG AREA MEDICAL CENTER
SAUK
VAN MEETEREN, ROBERT (608)524-6487
YES01/01/2005
OLSON, LINDA
SOUTHERNTURNER, DALE
SEPTEMBER
32*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU415213361040
25CAH11001600
HAYWARD, WI 5484311040 N STATE RD 77HAYWARD AREA MEMORIAL HOSPITAL
SAWYER
GULLINGSRUD, TIM(715)934-4270(715)934-4321
NO05/01/2004
HARM, SANDRA
NORTHERNZELLER, BRAD
MARCH
HSPLACU865213461051
25CAH11013400
SHAWANO, WI 54166100 COUNTY RD BTHEDACARE MEDICAL CENTER - SHAWANO INC
SHAWANO
SCHMIDT, BILL(715)526-7205(715)526-2111
YES09/01/2004
BLOCK, PENNY
NORTHEASTERN
DECEMBER
HSPLACU8752003538
185ACUTE11009000
SHEBOYGAN, WI 530832629 N 7TH STAURORA SHEBOYGAN MEMORIAL MEDICAL CTR
SHEBOYGAN
GRAEBNER, DAVID(920)451-5333(920)451-5000
YES07/01/1966
KNITT, LORI
NORTHEASTERN
DECEMBER
HSPLACU12052004437
185ACUTE11009800
SHEBOYGAN, WI 530813100 SUPERIOR AVEST NICHOLAS HOSPITAL
SHEBOYGAN
BAGNALL, ANDREW(920)452-8336(920)459-8300
YES07/01/1966
MARTIN, MARY
NORTHEASTERNHAFEMAN, PAULA
JUNE
33*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU575213241027
25CAH11006400
MEDFORD, WI 54451135 S GIBSON STASPIRUS MEDFORD HOSPITAL & CLINICS, INC
TAYLOR
NEVERS, RICK(715)748-8199(715)748-8100
YES06/10/2002
BUTEN, SHERRY
WESTERNHUPF, ANGELA
JUNE
HSPLCRI45213021003
18CAH11015600
OSSEO, WI 5475813025 8TH STMAYO CLINIC HEALTH SYSTEM-OAKRIDGE
TREMPEALEAU
HELMERS, RICHARD(715)597-6250(715)597-3121
YES11/04/1999
JURY, RITA
DECEMBER
HSPLACU1255213161019
25CAH11016000
WHITEHALL, WI 5477318601 LINCOLN STGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS
TREMPEALEAU
OLSON, JONI(715)538-2271(715)538-4361
NO09/23/2001
PIENTOK, LANA
WESTERNPIENTOK, LANA
DECEMBER
HSPLCRI65213041005
25CAH11007400
HILLSBORO, WI 54634400 WATER AVEGUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS
VERNON
GEARHART, DANIELLE(608)489-8181(608)489-8000
NO03/08/2000
TENGBLAD, TONI
SOUTHERNMCCOIC, KRISTIE
DECEMBER
34*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU1305213481053
25CAH1100800
VIROQUA, WI 54665507 SOUTH MAIN STVERNON MEMORIAL HOSPITAL
VERNON
BAKKUM, KYLE(608)637-2141(608)637-2101
NO10/19/2004WESTERN
KOENIG, MARY
SEPTEMBER
HSPLCRI15213001000
25CAH11018900
EAGLE RIVER, WI 54521201 HOSPITAL ROADASCENSION EAGLE RIVER HOSPITAL
VILAS
ANDERSON, SANDRA(715)356-6097(715)479-7411
NO10/01/1999
WILSON, CATE
NORTHERNOUNGST, LAURIE
JUNE
HSPLACU51520102132
109ACUTE11021600
ELKHORN, WI 53121W3985 COUNTY ROAD NNAURORA LAKELAND MEDICAL CENTER
WALWORTH
JUST, LISA(262)741-2180(262)741-2000
YES07/01/1966
KORTH, NANCY
SOUTHEASTERN
DECEMBER
HSPLCRI185213571062
25CAH11024900
LAKE GENEVA, WI 53147N2950 STATE ROAD 67MERCY WALWORTH HOSPITAL & MEDICAL CENTER
WALWORTH
BEA, JAVON(262)245-2198(262)245-0535
YES12/29/2005
OLESTON, CARYN
SOUTHEASTERNHALLATT, JENI
JUNE
35*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU475213421047
25CAH11017000
SHELL LAKE, WI 54871113 4TH AVEINDIANHEAD MEDICAL CENTER SHELL LAKE
WASHBURN
JACK, SHANNON(715)468-7303(715)468-7833
YES10/01/2004
LAURSEN, DORISLAURSEN, DORIS
DECEMBER
HSPLACU915213321036
25CAH11010000
SPOONER, WI 548011280 CHANDLER DRSPOONER HEALTH SYSTEM
WASHBURN
SCHAFER, MICHAEL(715)939-1555(715)635-2111
NO02/12/2004
MILLER, CLINTBUSCH, REBECCA
MARCH
HSPLACU40520038195
71ACUTE11009200
HARTFORD, WI 530271032 E SUMNER STAURORA MEDICAL CTR WASHINGTON COUNTY
WASHINGTON
GRAEBNER, DAVID (262)673-2300
YES07/14/1971
BIALAS, KAREN
SOUTHEASTERN
DECEMBER
HSPLACU9952006344
70ACUTE11011200
WEST BEND, WI 530953200 PLEASANT VALLEY ROADST JOSEPHS COMMUNITY HOSPITAL OF WEST BEND
WASHINGTON
ERICSON, ALLEN(262)836-7118(262)334-5533
YES07/01/1966
LUX, TERI
SOUTHEASTERN
JUNE
36*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPSAT007
262
175SATELLITE11019400
BROOKFIELD, WI 5304519333 W NORTH AVEWHEATON FRANCISCAN - ELMBROOK MEMORIAL
WAUKESHA
ANDERSEN, TRAVIS(414)874-4393(262)785-2000
YESKOHOUT, MARY JO
SOUTHEASTERNBAUGHMAN, SHARON
JUNE
HSPLACU2552010328
237ACUTE11014300
MENOMONEE FALLS, WI 53051W180 N8085 TOWN HALL RDCOMMUNITY MEMORIAL HOSPITAL
WAUKESHA
LUX, TERI(262)253-7169(262)251-1000
YES07/01/1966
WAALA, SHELLY
SOUTHEASTERNERICSON, ALLEN
JUNE
HSPLACU58520062113
156ACUTE11011100
OCONOMOWOC, WI 53066791 E SUMMIT AVEOCONOMOWOC MEMORIAL HOSPITAL
WAUKESHA
EDWARDS, SUSAN(262)569-0336(262)569-9400
YES07/01/1966SOUTHEASTERN
MAY, JOHNPFITZINGER, MARGARET
SEPTEMBER
HSPLPSY11524018190
90PSYCH0063800
OCONOMOWOC, WI 5306634700 VALLEY RDROGERS MEMORIAL HOSPITAL
WAUKESHA
MUELLER, PAUL(262)646-3158(262)646-4411
YES03/24/1975SOUTHEASTERN
HARRISON, SUZANNE
JULY
37*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU137522007302
62LT11023900
PEWAUKEE, WI 530722400 GOLF ROADLIFECARE HOSPITALS OF WISCONSIN
WAUKESHA
KABLE, MARYELLEN(262)524-2631(262)524-2600
YES02/01/2001
OZOWSKI, ANGIE
SOUTHEASTERNOZOWSKI, ANGIE
DECEMBER
HSPLACU220520206316
117ACUTE100009852
SUMMIT, WI 5306636500 AURORA DRIVEAURORA MEDICAL CENTER
WAUKESHA
BERGMANN, MICHAEL(262)434-1221(262)434-1000
YES05/03/2010SOUTHEASTERN
DECEMBER
HSPLRHB02523027315
40REHAB1417120197
WAUKESHA, WI 531881625 COLD WATER CREEK DRIVEREHABILITATION HOSPITAL OF WISCONSIN
WAUKESHA
NEWBERRY-FERGUSON, LINDA(262)521-8876(262)521-8800
YES11/12/2008
BEHRENS, SHARON
DECEMBER
HSPLPSY12524026218
28PSYCH10063300
WAUKESHA, WI 531881501 AIRPORT RDWAUKESHA COUNTY MENTAL HEALTH CTR
WAUKESHA
LEWIS, JEFF(262)896-8046(262)548-7950
NO06/05/1979
BOYD, CRYSTAL
SOUTHEASTERNBOYD, CRYSTAL
DECEMBER
38*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU13352000841
400ACUTE11006600
WAUKESHA, WI 53188725 AMERICAN AVEWAUKESHA MEMORIAL HOSPITAL
WAUKESHA
EDWARDS, SUSAN(262)928-7810(262)928-1000
YES07/01/1966SOUTHEASTERN
MAY, JOHNPFITZINGER, MARGARET
SEPTEMBER
HSPLACU765213341038
25CAH11018600
WAUPACA, WI 54981800 RIVERSIDE DRIVETHEDACARE MEDICAL CENTER - WAUPACA INC
WAUPACA
KANTOS, CRAIG(715)258-1009(715)258-1000
YES03/06/2004
SCHUMAN, DAWN
NORTHEASTERNSCHUMAN, DAWN
DECEMBER
HSPLCRI55213031004
25CAH11018200
WILD ROSE, WI 54984601 GROVE AVETHEDACARE MEDICAL CENTER - WILD ROSE INC
WAUSHARA
SHUMAN, DAWN(920)622-6020(920)622-3257
NO12/01/1999
DANZEISEN, JENIFER
NORTHEASTERNWILLIAMS, BRUCE
DECEMBER
HSPLACU1385233021005
42CHILD11023400
NEENAH, WI 54956130 SECOND STCHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY
WINNEBAGO
TROY, PEGGY (920)969-7900
YES03/14/2001
KOROM, NANCY
NORTHEASTERNKOROM, NANCY
DECEMBER
39*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU12352004532
182ACUTE11009900
NEENAH, WI 54956130 2ND STTHEDACARE REGIONAL MEDICAL CENTER - NEENAH INC
WINNEBAGO
BURMEISTER, BRIAN(920)729-3167(920)729-3100
YES07/01/1966
HELANDER, PAM
NORTHEASTERN
DECEMBER
HSPLACU148520198307
84ACUTE11024300
OSHKOSH, WI 54904855 N WESTHAVEN DRIVEAURORA MEDICAL CTR OSHKOSH
WINNEBAGO
NEWMAN, JEFF(920)456-7601(920)456-6000
YES12/06/2003
CARTER, SHANE
NORTHEASTERNCARTER, SHANE
DECEMBER
HSPLACU65520048186
157ACUTE11010100
OSHKOSH, WI 54904500 S OAKWOOD RDMERCY MEDICAL CENTER OF OSHKOSH
WINNEBAGO
NORMINGTON-SLAY, JEREMY(920)223-0508(920)223-2000
YES07/01/1966
PARRISH, DENISE
NORTHEASTERNPARRISH, DENISE
JUNE
HSPLPSY13524002250
330PSYCH10063000
WINNEBAGO, WI 549851300 SOUTH DRIVEWINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO
SPEECH, THOMAS(920)237-2043(920)235-4910
YES07/01/1966
MONROE, LORI
NORTHEASTERNCRAGGS, CHRIS
JUNE
40*Type is LTC or Hospital bt
HospitalsProvider Directory
for WisconsinListed in Order of County then City
04/13/2018
Provider #Lic #
DON NameVendor #
Type*Fac#
PhoneFax
BedsCounty
AccreditedParticipation Date
AdministratorAddress
RegionSub Administrator
FY End
Department of Health ServicesDivision of Quality Assurance
HSPLACU10252003751
504ACUTE11009100
MARSHFIELD, WI 54449611 ST JOSEPH AVEMARSHFIELD MEDICAL CENTER
WOOD
MURALI, NARAYANA(715)387-8601(715)387-7850
YES07/01/1966
HOERNEMAN, COLLEEN
NORTHERN
SEPTEMBER
HSPLPSY9524019211
16PSYCH10063900
MARSHFIELD, WI 544491600 N CHESTNUT AVENORWOOD HEALTH CENTER
WOOD
BRUCE, JORDON(715)387-1533(715)384-2188
NO07/15/1975
MASANZ, ELIZABETH
NORTHERN
DECEMBER
HSPLACU7752003311
99ACUTE11008800
WISCONSIN RAPIDS, WI 54495410 DEWEY STASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
WOOD
BURCH, TODD(715)421-7512(715)423-6060
YES07/01/1966
JOHNSON, KIMBERLY
NORTHERN
AUGUST
Count of providers: 163 127 36Count of Accredited: Count of Unaccredited:
41*Type is LTC or Hospital bt
