ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS (NPI# 1346668936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346668936 |
Entity Type | Organization |
Organization Name | ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS |
Other Organization Name | PREVEA HEALTH |
Practice Address |
1411 N Taylor Dr Sheboygan WI 53081-3043 |
Mailing Address |
Po Box 19070 Green Bay WI 54307-9070 |
Practice Telephone | 9204964700 |
Mailing Telephone | 9204964700 |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |
Authorized Official Name | ANDREW J BAGNALL (PRESIDENT & CEO) |
Authorized Official Telephone | 9204964700 |
Is Organization Subpart | Y |
Parent Organization Name | ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Prevea Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447737762 | St Nicholas Hospital-sisters of The Third Order of St Francis | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1994 | 2018-07-20 |
1275943243 | St Nicholas Hospital-sisters of The Third Order of St Francis | Nurse Practitioner | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-04-30 |
1801217328 | St Nicholas Hospital-sisters of The Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2013-12-31 |
1033557871 | St Nicholas Hospital-sisters of The Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 3303 Superior Ave, Sheboygan, WI 53081-1861 | 2013-06-13 |
1659611077 | St Nicholas Hospital-sisters of The Third Order of St Francis | Clinical Medical Laboratory | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2013-02-21 |
Street Address |
1411 N TAYLOR DR |
City | SHEBOYGAN |
State | WI |
Zip Code | 53081-3043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063483543 | Karen Lu Colvin | Nurse Anesthetist, Certified Registered | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2006-01-31 |
1235753922 | Elizabeth Grace Garncarz | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2020-05-29 |
1649827163 | Alice Chanakira-alimi | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2019-08-20 |
1821582016 | Lauren Sheafer | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-20 |
1033603774 | Marlee Anne Hall | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-16 |
1386180362 | Amy Sue Gumieny | Nurse Practitioner | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2017-01-13 |
1417300518 | Prevea | Clinic/Center | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2016-07-13 |
1841687365 | Tina N Ozbeki | Family Medicine | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2015-04-22 |
1093145773 | Marylou Mercado | Registered Nurse | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2013-11-18 |
1770922320 | Derek Schenk | Specialist/Technologist, Other | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2013-06-17 |
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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 | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033450705 | Home Care Medical, Inc | Durable Medical Equipment & Medical Supplies | 2922 S Business Dr, Sheboygan, WI 53081-6520 | 2013-03-06 |
1316115835 | Visiting Nurse Association of Wisconsin, Inc. | Durable Medical Equipment & Medical Supplies | 3313 Behrens Pkwy, Sheboygan, WI 53081-1255 | 2008-02-19 |
1821274275 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4433 Vanguard Dr, Sheboygan, WI 53083-6067 | 2008-01-16 |
1871667741 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1414 N Taylor Dr Ste 220, Sheboygan, WI 53081-3090 | 2006-11-20 |
1093720997 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2702 Calumet Dr, Sheboygan, WI 53083-3835 | 2006-07-29 |
1871508929 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3320 S Business Dr, Sheboygan, WI 53081-6528 | 2006-07-29 |
1730106881 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3711 S Taylor Dr, Sheboygan, WI 53081-8495 | 2006-07-16 |
1851336093 | Glander Inc | Durable Medical Equipment & Medical Supplies | 3529 Superior Ave, Sheboygan, WI 53081-1865 | 2006-06-20 |
1427617414 | St. Nicholas Hospital - Sisters of The Third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 3113 Saemann Ave, Sheboygan, WI 53081-1957 | 2019-06-12 |
1871066175 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 924 N Taylor Dr, Sheboygan, WI 53081-4202 | 2019-01-09 |
Find all providers in SHEBOYGAN |
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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.