OCONTO HOSPITAL & MEDICAL CENTER INC (NPI# 1689151599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689151599 |
Entity Type | Organization |
Organization Name | OCONTO HOSPITAL & MEDICAL CENTER INC |
Other Organization Name | SWING BED UNIT |
Practice Address |
820 Arbutus Ave Oconto WI 54153-2004 |
Mailing Address |
Po Box 1866 Green Bay WI 54305-1866 |
Practice Telephone | 9208351100 |
Practice Fax Number | 9208351099 |
Mailing Telephone | 9204457222 |
Mailing Fax Number | 9204457289 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |
Authorized Official Name | KEVIN JOHN MCGURK (CONTROLLER) |
Authorized Official Telephone | 9204457260 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 52Z256 | WI | Hospital Units |
Other Name | Type Code |
---|---|
Swing Bed Unit | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114579836 | Oconto Hospital & Medical Center Inc | Dietitian, Registered | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-07-12 |
1790284438 | Oconto Hospital & Medical Center Inc | Family Medicine | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2018-02-08 |
1356373302 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153 | 2006-07-07 |
Street Address |
820 ARBUTUS AVE |
City | OCONTO |
State | WI |
Zip Code | 54153-2004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063496826 | Robert A Bivins | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2005-12-05 |
1720635485 | Erin Lynne Pape | Nurse Practitioner | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-08-19 |
1114579836 | Oconto Hospital & Medical Center Inc | Dietitian, Registered | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-07-12 |
1285292078 | Jacob Malone | Dentist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-06-05 |
1730693888 | Leslie M Wochos | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-11-28 |
1912418179 | Baycare Clinic, LLP | Neurological Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-10-16 |
1255868113 | Kate Marie Vanalstyne | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-05-22 |
1861899833 | Wisconsin Sports Medicine and Orthopedics,s.c. | Orthopaedic Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-11-19 |
1659781441 | Michael Jon Brenner | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-05-01 |
1073956223 | The Lakes Community Health Center, Inc | Clinic/Center | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2013-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629240650 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153 | 2008-03-31 |
1912997081 | Benzer Wi 1 LLC | Pharmacy | 1008 Main St, Oconto, WI 54153 | 2005-10-28 |
1245758127 | Hayley Joy Maxwell | Counselor | 501 Park Ave, Oconto, WI 54153 | 2017-08-31 |
1538542089 | Aliaksandr Trusau | Internal Medicine | 620 Smith Ave, Oconto, WI 54153 | 2015-07-01 |
1467879296 | Christopher Hanke | Counselor | 501 Park Ave, Oconto, WI 54153 | 2014-03-18 |
1669807020 | Joshua Ammon Weenig | Dentist | 1210 Pecor St, Oconto, WI 54153 | 2013-09-04 |
1932252533 | Oconto County Health & Human Services | Registered Nurse | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
1841343449 | Oconto County Health & Human Services | Hospice Care, Community Based | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
1396967253 | Matthew James Karban | Dentist | 500 Superior Avenue, Oconto, WI 54153-0298 | 2007-05-02 |
1811492929 | Katie Daniels | Nurse Practitioner | 530 Smith Ave, Oconto, WI 54153-1010 | 2018-03-29 |
Find all providers in zip 54153 |
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 |
---|---|---|---|---|
1356373302 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153 | 2006-07-07 |
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 |
1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
1326349135 | St Clare Memorial Hospital, Inc | Medicare Defined Swing Bed Unit | 855 S Main St, Oconto Falls, WI 54154-1241 | 2010-11-10 |
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 |
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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.