St Clare Memorial Hospital, Inc, NPI 1750412292
Nurse Practitioner in Suring, 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 1750412292
NPI Entity Type Organization
Provider Name St Clare Memorial Hospital, Inc
Doing Business As
Subpart of Organization St Clare Memorial Hospital, Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 913 East Main Street, Suring, WI, US
Provider Mailing Address 855 S Main St, Oconto Falls, WI, US, 541541241
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Patricia Allen
Official Position CFO
Phone 920-884-5660

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

363L00000X

Taxonomy Name Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 54392-030
License State WI
Description (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Other Organization Name

St Clare Memorial Hospital Suring Health Center
Doing Business As

Business Address

St Clare Memorial Hospital, Inc
913 East Main Street

Suring, WI, US

Phone: 920-842-1147
Fax: 920-842-1160

Mailing Address

St Clare Memorial Hospital, Inc
855 S Main St
Oconto Falls, WI, US
ZIP 541541241
Phone: 920-846-3444
Fax: 920-846-0250

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1003898867 WI ZAHN NPI 01
11014110 WI MEDICAID 05
1851477913 CMH NPI 01
32843600 WI MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org DIRECT OTHER No 913 East Main Street, Suring, WI, US

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DR. D.O. Meredith Caroline Schaffner

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Fort Healthcare, Inc.

Organization

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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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