ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (NPI# 1528098530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528098530 |
| Entity Type | Organization |
| Organization Name | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F |
| Other Organization Name | LIBERTAS |
| Practice Address |
1701 Dousman St Green Bay WI 54303-3211 |
| Mailing Address |
2661 County Highway I Chippewa Falls WI 54729-5407 |
| Practice Telephone | 9204988600 |
| Mailing Telephone | 7157231811 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | JOAN COFFMAN (COO) |
| Authorized Official Telephone | 7157231811 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER O |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 10065600 | 05 |
| Other Name | Type Code |
|---|---|
| Libertas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429908 | St Josephs Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2005-07-07 |
| 1285819672 | St Josephs Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 7490 156th St, Chippewa Falls, WI 54729-1425 | 2008-01-03 |
| Street Address |
1701 DOUSMAN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639726557 | Paula Marie Testin | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2019-08-26 |
| 1437614286 | Beth Ann Burnside | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2019-02-06 |
| 1730660036 | Ashley A Neis | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2018-08-24 |
| 1033697800 | Samantha Rose Koehn | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2018-08-02 |
| 1043700115 | Elaine Jean Doxtator | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2018-05-15 |
| 1225535248 | Sierra E Knier | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2018-04-06 |
| 1710484738 | Senior L Brown | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2018-04-06 |
| 1891212742 | Catherine R Forbes | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2017-08-22 |
| 1952852022 | Kathleen Cavanagh | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2016-10-24 |
| 1194171546 | Tsyoshaaht Caterina Delgado | Counselor | 1701 Dousman St, Green Bay, WI 54303-3211 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| 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 |
|---|---|---|---|---|
| 1609248269 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Special Hospital | 1701 Dousman St, Green Bay, WI 54303-3211 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1124470455 | Jingqiao Zhang | Special Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-07-11 |
| 1861635971 | Midwest Orthopedic Specialty Hospital, LLC | Special Hospital | 10101 S 27th St, Franklin, WI 53132-7209 | 2009-04-20 |
| 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.