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St Clare Memorial Hospital Inc

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

physician-icon Basic Information

Practice Location 117 N Mckenzie St, Gillett, WI 54124-9142, US
Practice Location Phone920-848-6323
Practice Location Fax920-848-8502
Legal Business NameST CLARE MEMORIAL HOSPITAL INC
Other Organization NameHSHS ST. CLARE MEMORIAL HOSPITAL PHARMACY GILLETT
Other Organization Name TypeDoing Business As Name
NPI ?1710225693
Entity TypeOrganization
Enumeration Date ? Jan 28, 2013
Last Update Date ? Apr 19, 2017
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
Pharmacy
PharmacyCommunity/Retail Pharmacy 9179-42Wisconsin

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

Provider IdIssuer StateIssuer TypeIssuer
2138350OtherPK
1000027937WisconsinMedicaid

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 Therese Pandl
Authorized Official Title/PositionPRESIDENT & CEO
Authorized Official Phone Number920-884-5801