ST. JOSEPH'S HOSPITAL (NPI# 1245414374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245414374 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S HOSPITAL |
| Other Organization Name | LIBERTAS |
| Practice Address |
2108 Kohler Memorial Dr Sheboygan WI 53081-3100 |
| Mailing Address |
2661 County Highway I Chippewa Falls WI 54729-5407 |
| Practice Telephone | 9204988600 |
| Mailing Telephone | 7157231811 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | DAVID FISH (ADMINISTRATOR) |
| Authorized Official Telephone | 7157263200 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JOSEPHS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42206500 | 05 |
| Other Name | Type Code |
|---|---|
| Libertas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346540978 | St. Joseph's Hospital | Rehabilitation Hospital | 2661 County Road I, Chippewa Falls, WI 54729 | 2010-10-29 |
| 1770767808 | St. Joseph's Hospital | Special Hospital | 1009 Egg Harbor Rd Ste 102, Sturgeon Bay, WI 54235-1266 | 2007-12-26 |
| 1295731123 | St. Joseph's Hospital | General Acute Care Hospital | 555 E Market St, Elmira, NY 14901-3223 | 2005-06-24 |
| 1770069536 | St. Joseph's Hospital | Clinic/Center | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-07-16 |
| 1023328200 | St. Joseph's Hospital | Psychiatric Hospital | 1900 Medical Arts Dr, Huntingburg, IN 47542-9521 | 2010-10-20 |
| 1356506976 | St. Joseph's Hospital | General Acute Care Hospital | 19 Skytop Dr, Denville, NJ 07834-9501 | 2008-07-23 |
| 1316158793 | St. Joseph's Hospital | General Acute Care Hospital | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1701 | 2007-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER | 206 Prospect Ave, Syracuse, NY 13203-1806 |
| System for Award Management (SAM) Entities | ST JOSEPH'S HOSPITAL | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Indiana Business Entities | ST JOSEPH'S HOSPITAL FOUNDATION INC | 1204 E. Sixth St., Huntingburg, IN 47542 |
| System for Award Management (SAM) Entities | ST JOSEPH'S HOSPITAL, INC | 4600 N Habana Ave Ste 15, Tampa, FL 33614-7123 |
| System for Award Management (SAM) Entities | ST JOSEPH'S HOSPITAL, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS | 12866 Troxler Ave, Highland, IL 62249-2806 |
| System for Award Management (SAM) Entities | ST. JOSEPH'S HOSPITAL | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| New York State Corporations | ST. JOSEPH'S HOSPITAL | 555 St. Joseph's Blvd., Elmira, Ny 14901 |
| System for Award Management (SAM) Entities | ST. JOSEPH'S HOSPITAL AND HEALTH CENTER | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Indiana Business Entities | ST. JOSEPH'S HOSPITAL AUXILIARY, INC. | C/o Rosemary Welp, 5332 S 400 W, Huntingburg, IN 47542-4754 |
| System for Award Management (SAM) Entities | ST. JOSEPH'S HOSPITAL FEDERAL CREDIT UNION | 3001 West Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 |
| Street Address |
2108 KOHLER MEMORIAL DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104044395 | Connie Lee Worm | Nurse Practitioner | 2108 Kohler Memorial Dr, Sheboygan, WI 53081-3100 | 2007-04-23 |
| 1104297316 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Clinic/Center | 2108 Kohler Memorial Dr, Sheboygan, WI 53081-3100 | 2015-10-14 |
| 1790117703 | Lauren B Wingender | Nurse Practitioner | 2108 Kohler Memorial Dr, Sheboygan, WI 53081-3100 | 2013-07-31 |
| 1578814422 | Grube Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 2108 Kohler Memorial Dr, Ste 101, Sheboygan, WI 53081-3100 | 2012-10-01 |
| 1578737136 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 2108 Kohler Memorial Dr, Sheboygan, WI 53081-3100 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1962949552 | Kimberly Turner | Special Hospital | 106 W Seeboth St Unit 612, Milwaukee, WI 53204-4325 | 2017-01-20 |
| 1699030783 | Kiel Veterinary Clinic | Special Hospital | 575 Belitz Dr, Kiel, WI 53042-1577 | 2012-07-05 |
| 1366772675 | St. Joseph's Hospital-hospital Sisters-third Order of St. Francis | Special Hospital | 2301 County Hwy I, Chippewa Falls, WI 54729-5407 | 2010-01-08 |
| 1235368770 | West Allis Animal Hospital, Inc. | Special Hospital | 1736 S 82nd St, West Allis, WI 53214-4425 | 2009-07-06 |
| 1063663599 | Best Friends Veterinary Center | Special Hospital | 2082 Cheyenne Ave, Grafton, WI 53024-9368 | 2008-10-02 |
| 1598949620 | St. Jospeh's Hospital | Special Hospital | 1712 Dunlap Sq Ste 5, Marinette, WI 54143-1709 | 2007-12-26 |
| 1770767808 | St. Joseph's Hospital | Special Hospital | 1009 Egg Harbor Rd Ste 102, Sturgeon Bay, WI 54235-1266 | 2007-12-26 |
| 1528098530 | St Josephs Hospital of The Hospital Sisters of The Third Order of St F | Special Hospital | 1701 Dousman St, Green Bay, WI 54303-3211 | 2006-07-04 |
| 1124470455 | Jingqiao Zhang | Special Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-07-11 |
| Find all providers with the same taxonomy | ||||
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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.