DOOR COUNTY MEMORIAL HOSPITAL (NPI# 1295393452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295393452 |
| Entity Type | Organization |
| Organization Name | DOOR COUNTY MEMORIAL HOSPITAL |
| Practice Address |
323 S 18th Ave Sturgeon Bay WI 54235-1401 |
| Practice Telephone | 9207435566 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | ANDREW S LALUZERNE (CFO) |
| Authorized Official Telephone | 9207463729 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREVEA PARTNERED HEALTH PLAN | 01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1497079784 | Door County Memorial Hospital | Clinic/Center | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2010-03-16 |
| 1578892857 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2009-12-15 |
| 1952639833 | Door County Memorial Hospital | Clinic/Center | 815 Jefferson St, Algoma, WI 54201-1733 | 2009-12-03 |
| 1407076573 | Door County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1417177650 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1659591899 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1497850838 | Door County Memorial Hospital | Medicare Defined Swing Bed Unit | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2006-09-13 |
| 1710081328 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOOR COUNTY MEMORIAL HOSPITAL | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Street Address |
323 S 18TH AVE |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934060 | James Freeman Heise | Internal Medicine | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2005-09-27 |
| 1871106492 | Allycia E Bretl | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-08-24 |
| 1871114116 | Catherine Helen Keller | Dietitian, Registered | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-28 |
| 1265060362 | Nicole Loretta Geier | Occupational Therapist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-01 |
| 1003309048 | Jessica J Skinner | Registered Nurse | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-06-13 |
| 1295226702 | Lauren Daoust | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-05-21 |
| 1255877510 | Ruth Sohns | Nurse Practitioner | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2017-01-11 |
| 1649725938 | Tia Jackson | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-08-17 |
| 1962855577 | Alyssa Rae Lee | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-07-19 |
| 1447618152 | St. Clare Memorial Hospital, Inc | Surgery | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114053048 | Community Clinic of Door County, Inc. | Clinic/Center | 1623 Rhode Island St, Sturgeon Bay, WI 54235-1424 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
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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.