ASCENSION OUR LADY OF VICTORY HOSPITAL, INC. (NPI# 1780663989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780663989 |
| Entity Type | Organization |
| Organization Name | ASCENSION OUR LADY OF VICTORY HOSPITAL, INC. |
| Other Organization Name | ASCENSION OUR LADY OF VICTORY AT THORP |
| Practice Address |
704 S Clark St Thorp WI 54771-7624 |
| Mailing Address |
1120 Pine St Stanley WI 54768-1297 |
| Practice Telephone | 7156697279 |
| Practice Fax Number | 7156695674 |
| Mailing Telephone | 7156445530 |
| Mailing Fax Number | 7156446223 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | JONATHAN W SOHN (CFO) |
| Authorized Official Telephone | 4144653000 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43061000 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension Our Lady of Victory at Thorp | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053391730 | Ascension Our Lady of Victory Hospital, Inc. | General Acute Care Hospital | 1120 Pine St, Stanley, WI 54768-1297 | 2006-01-19 |
| Street Address |
704 S CLARK ST |
| City | THORP |
| State | WI |
| Zip Code | 54771-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679552988 | Thomas E Looze | Internal Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2006-01-13 |
| 1437419801 | Johnathon David Justice | Family Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2012-05-20 |
| 1750543161 | Vinay Sharma | Family Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2008-06-26 |
| 1750580213 | Pundeep Kahlon | Family Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2007-07-15 |
| 1770669392 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 704 S Clark St, Thorp, WI 54771-7624 | 2006-10-27 |
| 1508845827 | Peter P Gintner | Physician Assistant | 704 S Clark St, Thorp, WI 54771-7624 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851108 | Thorp Area Ambulance District | Ambulance | 101 S Wilson, Thorp, WI 54771 | 2006-05-24 |
| 1649332230 | Bruce Glen Campbell | Chiropractor | 102 E Main St, Thorp, WI 54771 | 2006-12-14 |
| 1649239179 | William Robert Sprague | Optometrist | 102 E Stanley St, Thorp, WI 54771 | 2006-03-22 |
| 1073815627 | Laurie K Thain | Registered Nurse | N15065 Dickerson Ave, Thorp, WI 54771-7310 | 2010-12-01 |
| 1790045904 | Mennonite Dental Clinic | Clinic/Center | W8180 County Road X, Thorp, WI 54771-7512 | 2012-05-22 |
| 1063584225 | Debra A Koltis | Counselor | W10274 Eddy Rd, Thorp, WI 54771-7626 | 2006-11-14 |
| 1861050395 | Aleyna Goerlitz | Physical Therapist | 205 E Hill St, Thorp, WI 54771-7630 | 2019-05-30 |
| 1649424383 | Hank's Furniture & Carpeting, Inc | Durable Medical Equipment & Medical Supplies | 104 S Washington St, Thorp, WI 54771-9240 | 2008-11-07 |
| 1205212156 | Thorp Family Chiropractic LLC | Chiropractor | 204 W Prospect St, Thorp, WI 54771-9303 | 2015-08-03 |
| 1518177674 | Thorp Nursing Home, Inc | Skilled Nursing Facility | 206 W Prospect St, Thorp, WI 54771-9303 | 2007-05-23 |
| Find all providers in zip 54771 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 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 |
| 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.