ST CLARE MEMORIAL HOSPITAL, INC. (NPI# 1073536967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073536967 |
| Entity Type | Organization |
| Organization Name | ST CLARE MEMORIAL HOSPITAL, INC. |
| Other Organization Name | ST CLARE MEMORIAL HOSPITAL PHARMACY |
| Practice Address |
855 S Main St Oconto Falls WI 54154-1241 |
| Practice Telephone | 9208463444 |
| Practice Fax Number | 9208464589 |
| Mailing Telephone | 9208463444 |
| Mailing Fax Number | 9208464589 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | JASON E KNOX (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 9208463444 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | ST CLARE MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5339042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33285700 | 05 | |
| WI | CMH NPI | 1851477913 | 01 |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5111745 | 01 | |
| WI | CMH SB NPI | 1326349135 | 01 |
| Other Name | Type Code |
|---|---|
| St Clare Memorial Hospital Pharmacy | Doing Business As Name - Organization |
| Street Address |
855 S MAIN ST |
| City | OCONTO FALLS |
| State | WI |
| Zip Code | 54154-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821073818 | Dawn Fifarek | Nurse Anesthetist, Certified Registered | 855 S Main St, Oconto Falls, WI 54154-1241 | 2005-12-13 |
| 1275140857 | Megan Piotrowski | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2020-09-28 |
| 1780238584 | Steven Bomkamp | Nurse Practitioner | 855 S Main St, Oconto Falls, WI 54154-1241 | 2019-07-30 |
| 1013455252 | Erin Bancroft | Nurse Practitioner | 855 S Main St, Oconto Falls, WI 54154-1241 | 2017-02-08 |
| 1245630219 | Olivia Marie Smaney | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2014-08-27 |
| 1679980478 | Pain Centers of Wisconsin - Oconto Falls, LLC | Clinic/Center | 855 S Main St, Suite B-200, Oconto Falls, WI 54154-1241 | 2014-07-14 |
| 1700203452 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 855 S Main St, Oconto Falls, WI 54154-1241 | 2014-03-19 |
| 1891132387 | Lindsey Laux | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2013-05-24 |
| 1245593656 | Tamara North | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2012-06-20 |
| 1265798946 | Sara Uecke | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578967220 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 853 South Main St, Suite A, Oconto Falls, WI 54154 | 2014-10-09 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1881869949 | Shari L Pfankuch | Occupational Therapist | 100 E Highland Drive, Sharpe Care, Oconto Falls, WI 54154 | 2008-04-29 |
| 1861666588 | Angela Irene Vancleve | Occupational Therapy Assistant | 100 E. Highland Drive, Oconto Falls, WI 54154 | 2008-04-14 |
| 1861793440 | Debra Kay Munes | Dentist | 248 North Main Street, Oconto Falls, WI 54154 | 2010-11-12 |
| 1194034850 | Forefront Dermatology, S.c. | Dermatology | 835 S Main St, Suite 1, Oconto Falls, WI 54154 | 2010-09-29 |
| 1851565774 | Marcy Ann Neitzer | Physical Therapy Assistant | 100 E Highland Dr, Oconto Falls, WI 54154 | 2008-04-22 |
| 1427168863 | Oconto Falls Dental Sc | Dentist | 248 N Main St, Oconto Falls, WI 54154 | 2006-08-30 |
| 1447235148 | David J Bell | Counselor | 107 E Highland Dr, Oconto Falls, WI 54154 | 2005-12-14 |
| 1306831052 | Heyde Health System Oconto Falls LLC | Skilled Nursing Facility | 100 E Highland Dr, Oconto Falls, WI 54154-1001 | 2005-09-19 |
| Find all providers in zip 54154 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730627894 | Community Memorial Hospital of Menomonee Falls Inc | Pharmacy | N86w12999 Nightingale Way, Menomonee Falls, WI 53051-2102 | 2017-02-08 |
| 1336394717 | Bhs Central Pharmacy | Pharmacy | 208 S West St, Waupun, WI 53963-1629 | 2008-11-26 |
| 1861905846 | Prairie Ridge Health, Inc. | Pharmacy | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-11-13 |
| 1932595972 | County of Milwaukee | Pharmacy | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2015-04-07 |
| 1538317441 | Richland Hospital | Pharmacy | 333 E 2nd St, Richland Center, WI 53581-1914 | 2008-09-04 |
| 1902062540 | The Monroe Clinic, Inc. | Pharmacy | 515 22nd Ave, Monroe, WI 53566-1569 | 2008-08-04 |
| 1265562136 | Aspirus Wausau Hospital, Inc | Pharmacy | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2007-03-07 |
| 1174658926 | Rusk County Memorial Hospital Pharmacy | Pharmacy | 900 College Ave W, Ladysmith, WI 54848-2116 | 2007-02-22 |
| 1790831576 | Beloit Memorial Hospital | Pharmacy | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2007-01-26 |
| 1134286537 | Tri-county Memorial Hospital Inc | Pharmacy | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | OCONTO FALLS |
| Zip Code | 54154 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.