DHS Wisconsin Facilities

FAC

HSPLACU58

License Number

113

Faciity Name

PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL

Address

791 E SUMMIT AVE

City

OCONOMOWOC

State

WI

Zip Code

53066

Telephone

(262) 569-9400

FAX

(262) 928-4032

Admin First Name

SUSAN

Admin Last Name

EDWARDS

Net Bed Count

156

Team Abbreviation

SER

Accrediated

YES

County

WAUKESHA

Medicare Provider

520062

Medicare Participation Date

01-Jul-66

Subtype

SHORT TERM

Notes

None

Information From

DHS Website

Last Updated

2025-11-30 00:00:00