HOLY FAMILY MEMORIAL INC (NPI# 1811405467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811405467 |
| Entity Type | Organization |
| Organization Name | HOLY FAMILY MEMORIAL INC |
| Other Organization Name | HFM WOUND CLINIC |
| Practice Address |
2300 Western Ave Manitowoc WI 54220-3712 |
| Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
| Practice Telephone | 9203203165 |
| Mailing Telephone | 9203202591 |
| Mailing Fax Number | 9203205102 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | BRETT NORELL (CEO) |
| Authorized Official Telephone | 9203203470 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLY FAMILY MEMORIAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| HFM EASY CARE CLINIC | Doing Business As Name - Organization |
| HFM WOUND CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235235474 | Holy Family Memorial Inc | Clinic/Center | 333 Reed Ave, Manitowoc, WI 54220-2087 | 2006-09-15 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1730460395 | Holy Family Memorial Inc | Internal Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2011-09-08 |
| 1336435585 | Holy Family Memorial Inc | Internal Medicine | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2011-06-27 |
| 1972745958 | Holy Family Memorial Inc | General Acute Care Hospital | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2009-04-06 |
| 1336314632 | Holy Family Memorial Inc | Clinical Medical Laboratory | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2008-04-28 |
| 1407031248 | Holy Family Memorial Inc | Nurse Anesthetist, Certified Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2007-12-28 |
| 1568559490 | Holy Family Memorial Inc | Podiatrist | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-10-10 |
| 1720175656 | Holy Family Memorial Inc | Internal Medicine | 600 York St, Suite 9, Manitowoc, WI 54220-6845 | 2006-10-10 |
| Street Address |
2300 WESTERN AVE |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264441 | Milan Jordan | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2005-09-07 |
| 1114534823 | Hailey Elizabeth Boyer | Speech-Language Pathologist | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-09-26 |
| 1255971313 | Sara Lubner | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-01-07 |
| 1245889054 | Jeanne Edwards | Dietitian, Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-09-05 |
| 1427610989 | Brianna Groelle | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-07-05 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1780174664 | Jenna Mae Domino | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220 | 2018-05-16 |
| 1386160935 | Patricia Josephine Lohr | Occupational Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-08-16 |
| 1134668221 | Amanda Kay Werner | Physician Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-02-22 |
| 1558811489 | Jamie Christine Moline | Pharmacist | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755032 | Elizabeth Lynn Wendt | Registered Nurse | 2290 16 3/4 Ave, Rice Lake, WI 54868-8786 | 2020-09-17 |
| 1154954246 | Amber Marie Neuens | Registered Nurse | 1798 Main Rd, Florence, WI 54121-7201 | 2020-02-17 |
| 1467979732 | Ronald Kabaale | Registered Nurse | 5443 N 13th Street Apt 4, Milwaukee, WI 53209-5100 | 2017-08-27 |
| 1093076762 | Debra Lynn Frank | Registered Nurse | 6614 Cedar St, Wauwatosa, WI 53213-3252 | 2012-05-30 |
| 1952927972 | Janice Marie Erbe | Registered Nurse | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-06-25 |
| 1720618218 | Angela Heim | Registered Nurse | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-01-23 |
| 1366933608 | Kristin Marie Gardon | Registered Nurse | 835 S. Van Buren St., Green Bay, WI 54301 | 2018-05-22 |
| 1063902054 | Laura Swoboda | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-15 |
| 1811405822 | Kathy Ann Knetter | Registered Nurse | 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 | 2018-01-12 |
| 1255682688 | Ildiko Magda Domanico | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2012-09-25 |
| 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.