HOLY FAMILY MEMORIAL INC (NPI# 1336314632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336314632 |
| Entity Type | Organization |
| Organization Name | HOLY FAMILY MEMORIAL INC |
| Practice Address |
2300 Western Ave Manitowoc WI 54220-3712 |
| Mailing Address |
Po Box 2170 Manitowoc WI 54221-2170 |
| Practice Telephone | 9203203500 |
| Mailing Telephone | 9203203500 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | PATRICK J BRANDEL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9203203481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32946000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235235474 | Holy Family Memorial Inc | Clinic/Center | 333 Reed Ave, Manitowoc, WI 54220-2087 | 2006-09-15 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1811405467 | Holy Family Memorial Inc | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-01-17 |
| 1730460395 | Holy Family Memorial Inc | Internal Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2011-09-08 |
| 1336435585 | Holy Family Memorial Inc | Internal Medicine | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2011-06-27 |
| 1972745958 | Holy Family Memorial Inc | General Acute Care Hospital | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2009-04-06 |
| 1407031248 | Holy Family Memorial Inc | Nurse Anesthetist, Certified Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2007-12-28 |
| 1568559490 | Holy Family Memorial Inc | Podiatrist | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-10-10 |
| 1720175656 | Holy Family Memorial Inc | Internal Medicine | 600 York St, Suite 9, Manitowoc, WI 54220-6845 | 2006-10-10 |
| Street Address |
2300 WESTERN AVE |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264441 | Milan Jordan | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2005-09-07 |
| 1114534823 | Hailey Elizabeth Boyer | Speech-Language Pathologist | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-09-26 |
| 1255971313 | Sara Lubner | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-01-07 |
| 1245889054 | Jeanne Edwards | Dietitian, Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-09-05 |
| 1427610989 | Brianna Groelle | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-07-05 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1780174664 | Jenna Mae Domino | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220 | 2018-05-16 |
| 1811405467 | Holy Family Memorial Inc | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-01-17 |
| 1386160935 | Patricia Josephine Lohr | Occupational Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-08-16 |
| 1134668221 | Amanda Kay Werner | Physician Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457455198 | Holy Family Memorial Inc | Clinical Medical Laboratory | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-09-12 |
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| 1558896498 | Noah Associates Incorporated | Clinical Medical Laboratory | 10501 W Greenfield Ave, West Allis, WI 53214-2421 | 2017-04-28 |
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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.