ST CLARE MEMORIAL HOSPITAL, INC (NPI# 1326349135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326349135 |
| Entity Type | Organization |
| Organization Name | ST CLARE MEMORIAL HOSPITAL, INC |
| Other Organization Name | ST CLARE MEMORIAL HOSPITAL SWING BED |
| Practice Address |
855 S Main St Oconto Falls WI 54154-1241 |
| Practice Telephone | 9208463444 |
| Practice Fax Number | 9208464244 |
| Mailing Telephone | 9208463444 |
| Mailing Fax Number | 9208464244 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2014-09-02 |
| Authorized Official Name | MR. DAN DEGROOT (CEO) |
| Authorized Official Telephone | 9208463444 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST CLARE MEMORIAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 4941-800 | WI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CMH NPI | 1851477913 | 01 |
| Other Name | Type Code |
|---|---|
| St Clare Memorial Hospital Swing Bed | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346371358 | St Clare Memorial Hospital, Inc | Physician Assistant | 200 S. Rosera Street, Lena, WI 54139 | 2007-03-08 |
| 1750412292 | St Clare Memorial Hospital, Inc | Nurse Practitioner | 913 East Main Street, Suring, WI 54174 | 2007-03-08 |
| 1568552958 | St Clare Memorial Hospital, Inc | Family Medicine | 14353 Hwy 32/64, Mountain, WI 54149 | 2006-10-13 |
| 1700107844 | St Clare Memorial Hospital, Inc | Physical Therapist | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2010-06-11 |
| 1144541285 | St Clare Memorial Hospital, Inc | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2010-06-11 |
| 1780851501 | St Clare Memorial Hospital, Inc | Clinical Medical Laboratory | 855 S Main St, Oconto Falls, WI 54154-1241 | 2008-05-12 |
| 1821216276 | St Clare Memorial Hospital, Inc | Obstetrics & Gynecology | 835 S Main St, Suite 2, Oconto Falls, WI 54154-1282 | 2007-04-23 |
| 1134250905 | St Clare Memorial Hospital, Inc | Nurse Practitioner | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2007-03-07 |
| 1467583278 | St Clare Memorial Hospital, Inc | Physician Assistant | 103 1st St, Oconto, WI 54153-1117 | 2007-03-07 |
| 1467583096 | St Clare Memorial Hospital, Inc | Family Medicine | 835 S Main St, Suite 1, Oconto Falls, WI 54154-1282 | 2007-03-07 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407096266 | Ascension Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 601 S. Center Ave, Merrill, WI 54452-3404 | 2009-03-05 |
| 1306051990 | St. Joseph's Health Services, Inc. | Medicare Defined Swing Bed Unit | 400 Water Ave., Hillsboro, WI 54634 | 2007-05-14 |
| 1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
| 1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
| 1346716263 | Mchs Hospitals, Inc. | Medicare Defined Swing Bed Unit | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-10-18 |
| 1689151599 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2018-07-24 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| 1720252893 | Aurora Medical Center of Manitowoc County, Inc. | Medicare Defined Swing Bed Unit | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2008-04-18 |
| 1265618979 | Thedacare Medical Center - Shawano, Inc. | Medicare Defined Swing Bed Unit | 100 County Road B, Shawano, WI 54166-7072 | 2008-01-11 |
| 1124202320 | Ascension Sacred Heart - St. Mary's Hospitals, Inc. | Medicare Defined Swing Bed Unit | 2251 N Shore Dr Ste 100, Rhinelander, WI 54501-8360 | 2007-12-24 |
| Find all providers with the same taxonomy | ||||
| City | OCONTO FALLS |
| Zip Code | 54154 |
Please comment or provide details below to improve the information on ST CLARE MEMORIAL HOSPITAL, INC.
| 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.