ASCENSION OUR LADY OF VICTORY HOSPITAL INC (NPI# 1356311252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356311252 |
Entity Type | Organization |
Organization Name | ASCENSION OUR LADY OF VICTORY HOSPITAL INC |
Other Organization Name | ASCENSION OUR LADY OF VICTORY AT STANLEY |
Practice Address |
1120 Pine St Stanley WI 54768-1297 |
Practice Telephone | 7156445530 |
Practice Fax Number | 7156446223 |
Mailing Telephone | 7156445530 |
Mailing Fax Number | 7156446223 |
Enumeration Date | 2006-01-24 |
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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43061600 | 05 |
Other Name | Type Code |
---|---|
Ascension Our Lady of Victory at Stanley | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700866399 | Ascension Our Lady of Victory Hospital Inc | Clinic/Center | 6 Johnson St, Owen, WI 54460 | 2006-01-19 |
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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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---|---|---|---|---|
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1598779571 | Page Memorial Hospital | Clinic/Center | 235 Medical Dr, Stanley, VA 22851-4112 | 2006-07-28 |
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1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
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 |
1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
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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.