OUR LADY OF VICTORY HOSPITAL INC (NPI# 1134193956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134193956 |
Entity Type | Organization |
Organization Name | OUR LADY OF VICTORY HOSPITAL INC |
Practice Address |
1120 Pine St Stanley WI 54768-0220 |
Mailing Address |
1120 Pine St Po Box 220 Stanley WI 54768-0220 |
Practice Telephone | 7156445571 |
Practice Fax Number | 7156446221 |
Mailing Telephone | 7156445571 |
Mailing Fax Number | 7156446221 |
Enumeration Date | 2006-02-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CYNTHIA EICHMAN (CEO) |
Authorized Official Telephone | 7156446148 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | 8339-042 | WI | Suppliers |
Street Address |
1120 PINE ST |
City | STANLEY |
State | WI |
Zip Code | 54768-0220 |
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 | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366416315 | Our Lady of Victory Hospital, Inc. | Pharmacy | 1120 Pine St, Stanley, WI 54768-0220 | 2006-02-15 |
1720089998 | Allen Drug of Stanley Inc | Pharmacy | 220 S Main St, Stanley, NC 28164-2011 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
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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.