ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS


Address: 2793 Lineville Rd, Green Bay, WI 54313-7152
Phone: 9204964700

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (NPI# 1720217722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720217722
Entity Type Organization
Organization Name ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Other Organization Name PREVEA HEALTH-HOWARD DME SUPPLIER
Practice Address 2793 Lineville Rd
Green Bay
WI 54313-7152
Practice Telephone 9204964700
Mailing Telephone 9204964700
Enumeration Date 2009-07-11
Last Update Date 2010-06-15
Authorized Official Name KELLY GIGOT (ASST ADMIN/CFO)
Authorized Official Telephone 9204338287
Is Organization Subpart Y
Parent Organization Name ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
WI DME PTAN 0481340003 01

Other Provider/Organization Names

Other Name Type Code
Prevea Health-Howard DME Supplier Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679136683 St Vincent Hospital-hospital Sisters-third Order of St Francis Clinic/Center 200 S Rosera St, Lena, WI 54139-9169 2019-04-16
1578967220 St Vincent Hospital-hospital Sisters-third Order of St Francis Clinic/Center 853 South Main St, Suite A, Oconto Falls, WI 54154 2014-10-09
1578973343 St Vincent Hospital-hospital Sisters-third Order of St Francis Durable Medical Equipment & Medical Supplies 102 N Washington St, Green Bay, WI 54301-4209 2014-05-02
1285613638 St Vincent Hospital-hospital Sisters-third Order of St Francis Family Medicine 2710 Executive Dr, Green Bay, WI 54304-5496 2006-01-13
1679556526 St Vincent Hospital-hospital Sisters-third Order of St Francis Home Health 900 S Webster Ave, Green Bay, WI 54301-3508 2005-11-23
1629051990 St Vincent Hospital-hospital Sisters-third Order of St Francis Clinic/Center 1920 Libal St, Green Bay, WI 54301-2471 2005-11-21
1114582988 St Vincent Hospital-hospital Sisters-third Order of St Francis Clinic/Center W3275 Wolf River Dr, Keshena, WI 54135-9202 2019-05-07
1114582087 St Vincent Hospital-hospital Sisters-third Order of St Francis Clinic/Center 501 Lake Ave, Florence, WI 54121-8805 2019-05-07
1225691017 St Vincent Hospital-hospital Sisters-third Order of St Francis Clinic/Center 14353 Hwy 32/64, Mountain, WI 54149 2019-04-17
1700449741 St Vincent Hospital-hospital Sisters-third Order of St Francis Clinic/Center 853 S Main St, Oconto Falls, WI 54154-1203 2019-04-16

Office Location

Street Address 2793 LINEVILLE RD
City GREEN BAY
State WI
Zip Code 54313-7152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932172053 Susan Frangiskakis Specialist 2793 Lineville Rd, Green Bay, WI 54313-7152 2006-02-09
1063026276 Matthew John Sprister Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2020-09-04
1780215251 Christine Hyde Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2020-02-03
1275049140 Miranda Mary Cseter Physician Assistant 2793 Lineville Rd, Green Bay, WI 54313-7152 2017-12-14
1205205424 Jennifer N. Charles Registered Nurse 2793 Lineville Rd, Green Bay, WI 54313-7152 2015-09-17
1316222771 Tiffany Lynn Laughlin Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2011-10-18
1154563229 Joshua D Rankin Pediatrics 2793 Lineville Rd, Green Bay, WI 54313-7152 2009-04-03
1336300276 Bradley Allen Locke Pediatrics 2793 Lineville Rd, Green Bay, WI 54313-7152 2008-06-23
1003080102 Mark Andrew Kachan Podiatrist 2793 Lineville Rd, Green Bay, WI 54313-7152 2008-04-18
1013197979 Mariruth Neff Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2007-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548823420 Martha Lynn Drew Licensed Practical Nurse 3101 Molly Brown Lane, Green Day, WI 54313 2019-04-17
1831691872 Melanie Hammerbeck Dentist 1756 Cardinal Ln, Green Bay, WI 54313 2018-03-06
1649727108 Amanda Marie Mckeefry Dental Hygienist 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 2016-09-01
1326594813 Kaylee Schartner Dental Hygienist 2304 Lineville Road, Suite 100, Suamico, WI 54313 2016-08-25
1134500226 Salvanz Enterprises Inc Pharmacy 2673 Lineville Road, Green Bay, WI 54313 2015-06-15
1467849307 Maureen Riordan Specialist/Technologist 2957 S Telemark Cir., Green Bay, WI 54313 2015-04-17
1043556780 Kellen James Binder Chiropractor 2638 Tulip Lane, Suite B, Green Bay, WI 54313 2012-12-28
1407092737 Sara Ann Anderson Registered Nurse 2691 Shade Tree Ln, Green Bay, WI 54313 2008-12-16
1467601344 Melissa Lea Socha Speech-Language Pathologist 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 2008-09-16
1003070707 Anne Marie Hein Physical Therapist 3101 S Packerland Dr, Green Bay, WI 54313 2008-07-11
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417411679 Nein Schnarchen Inc Durable Medical Equipment & Medical Supplies 1401 Kingston Ter, Green Bay, WI 54302-5405 2019-01-22
1932696101 Athletic & Therapeutic Institute of Milwaukee LLC Durable Medical Equipment & Medical Supplies 2304 Lineville Rd Ste 112, Green Bay, WI 54313-8805 2018-04-13
1033521018 Bel-regional Home Medical Inc. Durable Medical Equipment & Medical Supplies 508 S Military Ave, Green Bay, WI 54303-2210 2014-05-27
1578973343 St Vincent Hospital-hospital Sisters-third Order of St Francis Durable Medical Equipment & Medical Supplies 102 N Washington St, Green Bay, WI 54301-4209 2014-05-02
1871877803 Lincare Inc Durable Medical Equipment & Medical Supplies 975 Parkview Rd, Ste 1, Green Bay, WI 54304-5504 2011-10-10
1306134655 Wisconsin Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 930 Main Street, Green Bay, WI 54301-4806 2011-07-20
1548561848 Patriot Medical Supplies LLC Durable Medical Equipment & Medical Supplies 1357 Ponderosa Ave, Green Bay, WI 54313-5944 2010-11-03
1932422250 Keith's Haircenter, LLC Durable Medical Equipment & Medical Supplies 904 S Military Ave, Green Bay, WI 54304-2115 2010-03-02
1811132830 Modern Eyes Ltd. Durable Medical Equipment & Medical Supplies 2330 S Oneida St Ste 106, Green Bay, WI 54304-5118 2008-12-04
1720251838 Victoria L Cornelius Durable Medical Equipment & Medical Supplies 2751 N Packerland Dr, #103, Green Bay, WI 54303-4855 2008-04-09
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Competitor

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City GREEN BAY
Zip Code 54313

Improve Information

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Dataset Information

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.

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