ST CLARE MEMORIAL HOSPITAL, INC (NPI# 1700107844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700107844 |
| Entity Type | Organization |
| Organization Name | ST CLARE MEMORIAL HOSPITAL, INC |
| Other Organization Name | ST CLARE MEMORIAL HOSPTIAL PHYSICAL THERAPY GILLETT HEALTH CENTER |
| Practice Address |
340 N Green Bay Ave Gillett WI 54124-9325 |
| Mailing Address |
855 S Main St Oconto Falls WI 54154-1241 |
| Practice Telephone | 9208552823 |
| Practice Fax Number | 9208556343 |
| Mailing Telephone | 9208463444 |
| Mailing Fax Number | 9208460250 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2014-09-02 |
| Authorized Official Name | DANIEL 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 | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CMH NPI | 1851477913 | 01 | |
| WI | BURKEL NPI | 1417188673 | 01 |
| WI | 11014110 | 05 |
| Other Name | Type Code |
|---|---|
| St Clare Memorial Hosptial Physical Therapy Gillett Health Center | Doing Business As Name - 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 |
| 1326349135 | St Clare Memorial Hospital, Inc | Medicare Defined Swing Bed Unit | 855 S Main St, Oconto Falls, WI 54154-1241 | 2010-11-10 |
| 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 |
340 N GREEN BAY AVE |
| City | GILLETT |
| State | WI |
| Zip Code | 54124-9325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540888 | Michele Ann Laduron | Nurse Practitioner | 340 N Green Bay Ave, Suite 1, Gillett, WI 54124-9325 | 2005-09-30 |
| 1972166981 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2019-04-16 |
| 1407186141 | Community Memorial Hospital | Non-Pharmacy Dispensing Site | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2009-12-31 |
| 1962622522 | The Caring Doctor, LLC | Family Medicine | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2007-04-26 |
| 1134250905 | St Clare Memorial Hospital, Inc | Nurse Practitioner | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2007-03-07 |
| 1780616896 | Yu Chin Fang | Family Medicine | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699956607 | Cooperative Educational Service Agency No 8 | Counselor | 223 W Park Street, Gillett, WI 54124 | 2007-11-19 |
| 1972556819 | Gillett Area Ambulance Service Inc. | Ambulance | 100 W Main St, Gillett, WI 54124-9002 | 2006-05-19 |
| 1710225693 | St Clare Memorial Hospital Inc | Pharmacy | 117 N Mckenzie St, Gillett, WI 54124-9142 | 2013-01-28 |
| 1689670549 | Woodlands of Gillett, Inc. | Skilled Nursing Facility | 330 Robin Hood Ln, Gillett, WI 54124-9201 | 2005-06-24 |
| 1366710063 | Jennifer Marie Clements | Physical Therapy Assistant | 330 Robin Hood Ln, Gillett, WI 54124-9201 | 2011-12-08 |
| 1427237056 | Gillett School District | Local Education Agency (LEA) | 208 W Main St, Gillett, WI 54124-9371 | 2007-10-31 |
| 1811993462 | Steven P Drake | Optometrist | 130 E Main St, Gillett, WI 54124-9386 | 2005-06-27 |
| 1639583610 | Evelyn Katrina Hauser-frederick | Dentist | 137 E Main St, Gillett, WI 54124-9386 | 2014-06-17 |
| 1528332947 | Hearing Professionals of America LLC | Hearing Aid Equipment | 130 E Main St, Gillett, WI 54124-9386 | 2012-03-02 |
| 1356554851 | Gillett Dental Care, S.c. | Dentist | 137 E Main St, Gillett, WI 54124-9386 | 2007-05-08 |
| Find all providers in zip 54124 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548390172 | Gayla Hearn Therapy Services, Inc. | Physical Therapist | 311 Rose Avenue, Gillett, AR 72055 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102937 | Kathleen Jerry | Physical Therapist | 4414 Dwight Dr Apt 5, Madison, WI 53704-3561 | 2020-10-21 |
| 1750988481 | Jacqueline Cleereman | Physical Therapist | 2106 Schofield Ave Ste 5, Weston, WI 54476-2412 | 2020-10-06 |
| 1972110229 | Michelle Steffes | Physical Therapist | 2350 N 59th St, Milwaukee, WI 53210-2214 | 2020-09-29 |
| 1972110492 | Amelia Rae Wolf | Physical Therapist | W229n1416 Westwood Dr Ste 4, Waukesha, WI 53186-1309 | 2020-09-29 |
| 1639786213 | Melissa Arfstrom | Physical Therapist | 27477 Highway 64 Ste C, Cornell, WI 54732-5223 | 2020-09-28 |
| 1932713146 | Athletico, Ltd | Physical Therapist | N63w23675 Main St, Sussex, WI 53089 | 2020-09-04 |
| 1356953913 | Brittany Smart | Physical Therapist | 7137 236th Ave Ste 101, Salem, WI 53168-8975 | 2020-08-17 |
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1811506447 | David Nehls | Physical Therapist | 626 Lake Shore Dr, Beaver Dam, WI 53916-1432 | 2020-07-29 |
| 1548879786 | Thomas Norman Beine | Physical Therapist | 2210 Dufek Dr, Manitowoc, WI 54220-9356 | 2020-07-23 |
| 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.