ST CLARE MEMORIAL HOSPITAL, INC (NPI# 1821216276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821216276 |
| Entity Type | Organization |
| Organization Name | ST CLARE MEMORIAL HOSPITAL, INC |
| Other Organization Name | ST. CLARE MEMORIAL HOSPTIAL OCONTO FALLS WOMENS HEALTH CENTER |
| Practice Address |
835 S Main St Suite 2 Oconto Falls WI 54154-1282 |
| Mailing Address |
855 S Main St Oconto Falls WI 54154-1241 |
| Practice Telephone | 9208469995 |
| Practice Fax Number | 9208468031 |
| Mailing Telephone | 9208463444 |
| Mailing Fax Number | 9208460250 |
| Enumeration Date | 2007-04-23 |
| 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 |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
50013021 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NPI | 1851477913 | 01 |
| WI | ANTHEM BXBS | 208095165012 | 01 |
| WI | NPI | 1518941418 | 01 |
| WI | 11014100 | 05 | |
| WI | NPI | 1750384913 | 01 |
| Other Name | Type Code |
|---|---|
| St. Clare Memorial Hosptial Oconto Falls Womens 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 |
| 1700107844 | St Clare Memorial Hospital, Inc | Physical Therapist | 340 N Green Bay Ave, Gillett, WI 54124-9325 | 2010-06-11 |
| 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 |
| 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 |
835 S MAIN ST SUITE 2 |
| City | OCONTO FALLS |
| State | WI |
| Zip Code | 54154-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033682620 | Baycare Clinic, LLP | Neurological Surgery | 835 S Main St, Oconto Falls, WI 54154-1282 | 2019-01-07 |
| 1184117194 | Anna Lopas | Physical Therapist | 835 S Main St, Oconto Falls, WI 54154-1282 | 2018-06-13 |
| 1417316738 | St. Clare Memorial Hospital, Inc | Surgery | 835 S Main St, Suite 3, Oconto Falls, WI 54154-1241 | 2016-02-15 |
| 1043686967 | Jessica Rae Witt | Nurse Practitioner | 835 S Main St, Suite 1, Oconto Falls, WI 54154-1282 | 2015-08-14 |
| 1700268513 | Katie Halverson | Physical Therapist | 835 S Main St, Oconto Falls, WI 54154-1282 | 2015-06-29 |
| 1073994976 | Mengxia Zhang | Physician Assistant | 835 S Main St, Oconto Falls, WI 54154-1282 | 2015-06-16 |
| 1801210240 | Glenda Weigner | Nurse Practitioner | 835 S Main St, Ste 1, Oconto Falls, WI 54154-1282 | 2014-02-05 |
| 1548504996 | Dawn R Giese | Nurse Practitioner | 835 S Main St, Ste 1, Oconto Falls, WI 54154-1282 | 2012-11-23 |
| 1023376910 | Amy M Romandine Kratz | Family Medicine | 835 S Main St, Oconto Falls, WI 54154-1282 | 2012-04-27 |
| 1386925915 | Community Memorial Hospital, Incorporated | Surgery | 835 S Main St, Oconto Falls, WI 54154-1282 | 2011-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1881869949 | Shari L Pfankuch | Occupational Therapist | 100 E Highland Drive, Sharpe Care, Oconto Falls, WI 54154 | 2008-04-29 |
| 1861666588 | Angela Irene Vancleve | Occupational Therapy Assistant | 100 E. Highland Drive, Oconto Falls, WI 54154 | 2008-04-14 |
| 1861793440 | Debra Kay Munes | Dentist | 248 North Main Street, Oconto Falls, WI 54154 | 2010-11-12 |
| 1851565774 | Marcy Ann Neitzer | Physical Therapy Assistant | 100 E Highland Dr, Oconto Falls, WI 54154 | 2008-04-22 |
| 1427168863 | Oconto Falls Dental Sc | Dentist | 248 N Main St, Oconto Falls, WI 54154 | 2006-08-30 |
| 1447235148 | David J Bell | Counselor | 107 E Highland Dr, Oconto Falls, WI 54154 | 2005-12-14 |
| 1306831052 | Heyde Health System Oconto Falls LLC | Skilled Nursing Facility | 100 E Highland Dr, Oconto Falls, WI 54154-1001 | 2005-09-19 |
| 1609426337 | Oconto Falls Nursing and Rehab LLC | Skilled Nursing Facility | 100 E Highland Dr, Oconto Falls, WI 54154-1001 | 2019-09-15 |
| Find all providers in zip 54154 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134293533 | John Charles Rogers Md Ltd | Obstetrics & Gynecology | 3738 S 60th St Ste 102, Milwaukee, WI 53220-1935 | 2006-11-17 |
| 1669948790 | Ashley Elkins | Obstetrics & Gynecology | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2018-10-16 |
| 1639520414 | Lauren Isabel Useem | Obstetrics & Gynecology | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2016-06-23 |
| 1992071377 | Kelly Kennedy | Obstetrics & Gynecology | 1818 N Meade St, Suite 330, Appleton, WI 54911-3454 | 2012-03-29 |
| 1003132267 | Emily Linklater | Obstetrics & Gynecology | 403 Stageline Rd, Hudson, WI 54016-7848 | 2010-04-13 |
| 1881836484 | Allison Marie Nelson | Obstetrics & Gynecology | 1111 Delafield Street, Suite 311, Waukesha, WI 53188-3407 | 2009-03-27 |
| 1174720759 | Morgan Leigh Barnum | Obstetrics & Gynecology | 403 Stageline Rd, Hudson, WI 54016-7848 | 2007-06-28 |
| 1194828442 | Holy Family Memorial Inc | Obstetrics & Gynecology | 600 York St, Manitowoc, WI 54220-6845 | 2006-09-05 |
| City | OCONTO FALLS |
| Zip Code | 54154 |
Please comment or provide details below to improve the information on ST CLARE MEMORIAL HOSPITAL, INC.
| 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.