DOOR COUNTY MEMORIAL HOSPITAL (NPI# 1508198961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508198961 |
| Entity Type | Organization |
| Organization Name | DOOR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | DOOR COUNTY MEDICAL CENTER FISH CREEK |
| Practice Address |
3711 Highway 42 Fish Creek WI 54212 |
| Mailing Address |
323 S 18th Ave Sturgeon Bay WI 54235-1401 |
| Practice Telephone | 9208683511 |
| Mailing Telephone | 9207435566 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | ANDREW S LALUZERNE (CFO) |
| Authorized Official Telephone | 9207463729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Door County Medical Center Fish Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1710081328 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2006-09-12 |
| 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 |
3711 HIGHWAY 42 |
| City | FISH CREEK |
| State | WI |
| Zip Code | 54212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346357449 | Holly Ann Swain | Physician Assistant | 3711 Hwy 42, Fish Creek, WI 54212 | 2006-08-24 |
| 1053426585 | John W Ehrfurth | Clinical Neuropsychologist | 8442 Little Marsh Road, Fish Creek, WI 54212 | 2006-08-21 |
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1730376484 | Elizabeth Anne Emerson | Chiropractor | 8499 State Highway 42, Fish Creek, WI 54212-9419 | 2007-09-26 |
| 1144337536 | Kelly C Fagundes | Physical Therapist | 8499 St Hwy 42, Fish Creek, WI 54212-9419 | 2006-08-23 |
| 1437489416 | Emerson Chiropractic Wellness Center LLC | Clinic/Center | 8499 State Highway 42, Fish Creek, WI 54212-9419 | 2010-01-13 |
| 1326057639 | James M. Lewis | Family Medicine | 3711 State Highway 42, Fish Creek, WI 54212-9630 | 2006-08-05 |
| 1316957277 | Joseph Joshua Rebhan | Family Medicine | 3711 State Highway 42, Fish Creek, WI 54212-9630 | 2006-08-09 |
| 1063580082 | John Kennedy Bruns | Chiropractor | 9488 Shore Rd, Fish Creek, WI 54212-9696 | 2006-11-30 |
| 1770709867 | Gilbraltar Area School District | Local Education Agency (LEA) | 3924 Highway 42, Fish Creek, WI 54212-9755 | 2007-04-17 |
| Find all providers in zip 54212 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123218 | Mchs Hospitals, Inc. | Clinic/Center | 3606 Schneider Ave Se, Menomonie, WI 54751-5674 | 2020-01-13 |
| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| 1851345268 | Amery Regional Medical Center, Inc. | Clinic/Center | 137 First Ave, Luck, WI 54853-9057 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
| City | FISH CREEK |
| Zip Code | 54212 |
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.