DOOR COUNTY MEMORIAL HOSPITAL (NPI# 1265474738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265474738 |
| Entity Type | Organization |
| Organization Name | DOOR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | DOOR COUNTY MEMORIAL HOSPITAL PHARMACY |
| Practice Address |
323 S 18th Ave Sturgeon Bay WI 54235-1401 |
| Practice Telephone | 9207435566 |
| Mailing Telephone | 9207435566 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | AMY KONOP (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9207463731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
7120 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5111579 | 01 |
| Other Name | Type Code |
|---|---|
| DOOR COUNTY MEMORIAL HOSPITAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1295393452 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2019-06-03 |
| 1497079784 | Door County Memorial Hospital | Clinic/Center | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2010-03-16 |
| 1578892857 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2009-12-15 |
| 1952639833 | Door County Memorial Hospital | Clinic/Center | 815 Jefferson St, Algoma, WI 54201-1733 | 2009-12-03 |
| 1407076573 | Door County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1417177650 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1659591899 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1497850838 | Door County Memorial Hospital | Medicare Defined Swing Bed Unit | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2006-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOOR COUNTY MEMORIAL HOSPITAL | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Street Address |
323 S 18TH AVE |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934060 | James Freeman Heise | Internal Medicine | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2005-09-27 |
| 1871106492 | Allycia E Bretl | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-08-24 |
| 1871114116 | Catherine Helen Keller | Dietitian, Registered | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-28 |
| 1265060362 | Nicole Loretta Geier | Occupational Therapist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-01 |
| 1295393452 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2019-06-03 |
| 1003309048 | Jessica J Skinner | Registered Nurse | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-06-13 |
| 1295226702 | Lauren Daoust | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-05-21 |
| 1255877510 | Ruth Sohns | Nurse Practitioner | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2017-01-11 |
| 1649725938 | Tia Jackson | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-08-17 |
| 1962855577 | Alyssa Rae Lee | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| 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 | STURGEON BAY |
| Zip Code | 54235 |
Please comment or provide details below to improve the information on DOOR COUNTY MEMORIAL HOSPITAL.
| 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.