ASCENSION OUR LADY OF VICTORY HOSPITAL, INC. (NPI# 1053391730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053391730 |
Entity Type | Organization |
Organization Name | ASCENSION OUR LADY OF VICTORY HOSPITAL, INC. |
Other Organization Name | ASCENSION OUR LADY OF VICTORY HOSPITAL |
Practice Address |
1120 Pine St Stanley WI 54768-1297 |
Practice Telephone | 7156445571 |
Practice Fax Number | 7156446220 |
Mailing Telephone | 7156445571 |
Mailing Fax Number | 7156446220 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2019-08-28 |
Authorized Official Name | JONATHAN W SOHN (CFO) |
Authorized Official Telephone | 4144653000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
1013 | WI | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 11006510 | 05 |
Other Name | Type Code |
---|---|
Ascension Our Lady of Victory Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780663989 | Ascension Our Lady of Victory Hospital, Inc. | Clinic/Center | 704 S Clark St, Thorp, WI 54771-7624 | 2006-01-16 |
Street Address |
1120 PINE ST |
City | STANLEY |
State | WI |
Zip Code | 54768-1297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831171198 | St Josephs Hospital of Marshfield Inc | Clinic/Center | 1120 Pine St, Stanley, WI 54768-1297 | 2005-11-14 |
1184182388 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 1120 Pine St, Stanley, WI 54768-1297 | 2019-03-06 |
1922520915 | Hayes Hand Surgery | Orthopaedic Surgery | 1120 Pine St, Stanley, WI 54768-1297 | 2017-07-11 |
1649624586 | Ascension Wisconsin Retail Pharmacy-wausau | Pharmacy | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-18 |
1871956045 | Lacmbouh Ade | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-04 |
1194129353 | Erin Colleen Harrington | Nurse Practitioner | 1120 Pine St, Stanley, WI 54768-1297 | 2014-10-17 |
1588063390 | Luke E Menet | Registered Nurse | 1120 Pine St, Stanley, WI 54768-1297 | 2014-08-18 |
1235550955 | Jason David Randall | Nurse Anesthetist, Certified Registered | 1120 Pine St, Stanley, WI 54768-1297 | 2013-12-23 |
1215298922 | Alzada E Bourget | Physical Therapist | 1120 Pine St, Stanley, WI 54768-1297 | 2012-05-30 |
1326337619 | Total Renal Care Inc | Clinic/Center | 1120 Pine St, Stanley, WI 54768-1297 | 2011-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952429003 | Dhc Partnership | Dentist | 642 N Emery St, Stanley, WI 54768 | 2007-03-27 |
1417964826 | Todd Ponick | Chiropractor | 9520 County Highway H, Stanley, WI 54768 | 2006-08-01 |
1275638066 | Northwoods Family Eyecare, LLC | Optometrist | 203 N Broadway, Stanley, WI 54768 | 2006-09-14 |
1023082237 | Daniel Johnson | Pharmacist | 1120 Pine Street, Stanley, WI 54768-0220 | 2006-02-14 |
1639221898 | Laurie Lee Norstedt | Dietitian, Registered | 1120 Pine Street, Stanley, WI 54768-0220 | 2007-01-17 |
1326166539 | Wayne Alan Hove | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2007-03-26 |
1861865644 | Stanley Hometown Dentistry | Clinic/Center | 120 W 4th Ave, Stanley, WI 54768-1002 | 2015-11-03 |
1861621161 | James W. Gunelson | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2009-07-08 |
1427186246 | Scott L. Harris | Chiropractor | 123 N Broadway St, Stanley, WI 54768-1005 | 2007-03-01 |
1043554561 | Gregory Robert Haas | Chiropractor | 123 N Broadway St, Stanley, WI 54768-1005 | 2012-11-21 |
Find all providers in zip 54768 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740378637 | Mountrail County Medical Center, Inc. | General Acute Care Hospital | 615 6th St Se, Stanley, ND 58784-4444 | 2006-10-10 |
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1255662573 | Donald Morris Levy | General Acute Care Hospital | 4348 W Tarrytown Ln, Mequon, WI 53092-4850 | 2010-01-26 |
1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
1104953090 | New Anesthesia | General Acute Care Hospital | 1236 Stillmeadow Ln, Menasha, WI 54952-8920 | 2007-02-27 |
1184765240 | Tomah Memorial Hospital Inc | General Acute Care Hospital | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-10 |
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1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
1881640183 | Westfields Hospital, Inc. | General Acute Care Hospital | 535 Hospital Road, New Richmond, WI 54017-1449 | 2006-05-26 |
1053362624 | Ripon Medical Center Inc | General Acute Care Hospital | 845 Parkside Street, Ripon, WI 54971-8505 | 2006-05-16 |
1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
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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.