Community Memorial Hospital, Incorporated, NPI 1093096224
Surgery Physician in Green Bay, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093096224
NPI Entity Type Organization
Provider Name Community Memorial Hospital, Incorporated
Doing Business As
Subpart of Organization Community Memorial Hospital, Incorporated
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1726 Shawano Ave, Green Bay, WI, US
Provider Mailing Address 25630 Network Pl, Chicago, IL, US, 606731256
Is Sole Proprietor? No
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Organization Official

Official Name Daniel Degroot
Official Position CEO
Phone 920-846-3444

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

208600000X

Taxonomy Name Surgery Physician
Classification

Surgery

Group

Allopathic & Osteopathic Physicians

License No. 39597-20
License State WI
Description A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Other Organization Name

d/b/a Breast Surgery Experts of Northeast Wisconsin LLC
Doing Business As

Business Address

Community Memorial Hospital, Incorporated
1726 Shawano Ave

Green Bay, WI, US

Phone: 920-360-3787
Fax: 888-848-0225

Mailing Address

Community Memorial Hospital, Incorporated
25630 Network Pl
Chicago, IL, US
ZIP 606731256
Phone: 920-360-3787
Fax: 888-848-0225

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1851477913 WI CMH NPI 01
1750302089 WI PROVIDER 01
WI2552 WI MEDICARE PTAN 01

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NPI Name Taxonomy Address

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Organization

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LCSW, SAC-IT Alexandra Duvall

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D-PT Rachel Ann Lohrengel

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LPC Rebecca A Richards

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DR. D.O. Meredith Caroline Schaffner

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Fort Healthcare, Inc.

Organization

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1447304340

Fort Healthcare, Inc.

Organization

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Fort Healthcare Inc

Organization

Counselor

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MRS. LPC Holly L Doughty

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Fort Healthcare, Inc

Organization

Home Health Agency

611 Sherman Ave E

Fort Atkinson, WI

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