ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (NPI# 1063075018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063075018 |
| Entity Type | Organization |
| Organization Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Practice Address |
1300 E Green Bay St Shawano WI 54166-2210 |
| Mailing Address |
Po Box 13508 Green Bay WI 54307-3508 |
| Practice Telephone | 7152010870 |
| Mailing Telephone | 9204338044 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | BRIAN CHARLIER (PRESIDENT/CEO) |
| Authorized Official Telephone | 9206761148 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Vincent Hospital - Libertas of Shawano | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136683 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 200 S Rosera St, Lena, WI 54139-9169 | 2019-04-16 |
| 1578967220 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 853 South Main St, Suite A, Oconto Falls, WI 54154 | 2014-10-09 |
| 1578973343 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 102 N Washington St, Green Bay, WI 54301-4209 | 2014-05-02 |
| 1285613638 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Family Medicine | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-01-13 |
| 1679556526 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Home Health | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2005-11-23 |
| 1629051990 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 1920 Libal St, Green Bay, WI 54301-2471 | 2005-11-21 |
| 1114582988 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | W3275 Wolf River Dr, Keshena, WI 54135-9202 | 2019-05-07 |
| 1114582087 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 501 Lake Ave, Florence, WI 54121-8805 | 2019-05-07 |
| 1225691017 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 14353 Hwy 32/64, Mountain, WI 54149 | 2019-04-17 |
| 1700449741 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 853 S Main St, Oconto Falls, WI 54154-1203 | 2019-04-16 |
| Street Address |
1300 E GREEN BAY ST |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528564507 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 1300 E Green Bay St, Shawano, WI 54166-2210 | 2018-03-30 |
| 1831681402 | Heidi Marie Bruckert | Registered Nurse | 1300 E Green Bay St, Shawano, WI 54166-2210 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS.
| 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.