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St Clare Memorial Hospital, Inc

St Clare Memorial Hospital, Inc is a health care provider in Oconto Falls, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 340 N Green Bay Ave, Gillett, WI 54124-9325, US
Practice Location Phone920-855-2823
Practice Location Fax920-855-6343
Legal Business NameST CLARE MEMORIAL HOSPITAL, INC
Other Organization NameST CLARE MEMORIAL HOSPITAL GILLETT HEALTH CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1134250905
Entity TypeOrganization
Enumeration Date ? Mar 7, 2007
Last Update Date ? Sep 2, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of St Clare Memorial Hospital, Inc

SpecialtySpecializationLicenseLicense State
Family Medicine 38713-020Wisconsin
Nurse PractitionerFamily

legacy-id-icon Legacy Provider IDs of St Clare Memorial Hospital, Inc

Provider IdIssuer StateIssuer TypeIssuer
1851477913OtherCMH NPI
1639340995WisconsinOtherBOUCHER NPI
11014110WisconsinMedicaid
1710966288WisconsinOtherMALTINSKI NPI

official-icon Authorized Official of St Clare Memorial Hospital, Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the St Clare Memorial Hospital, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Daniel Degroot
Authorized Official Title/PositionCEO
Authorized Official Phone Number920-846-3444