HOLY FAMILY MEMORIAL INC (NPI# 1548364284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548364284 |
| Entity Type | Organization |
| Organization Name | HOLY FAMILY MEMORIAL INC |
| Other Organization Name | HFM PAIN CLINIC |
| Practice Address |
2300 Western Ave Manitowoc WI 54220-3712 |
| Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
| Practice Telephone | 9203203185 |
| Practice Fax Number | 9203203574 |
| Mailing Telephone | 9203203185 |
| Mailing Fax Number | 9203203574 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | PATTY HUETTL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9203203486 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLY FAMILY MEMORIAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32795700 | 05 | |
| WI | RAILROAD MEDICARE | CH0881 | 01 |
| Other Name | Type Code |
|---|---|
| HFM PAIN CLINIC | Doing Business As Name - Organization |
| 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 |
| 1336314632 | Holy Family Memorial Inc | Clinical Medical Laboratory | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2008-04-28 |
| 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 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649511304 | Wauwatosa Pain Management, LLC | Clinic/Center | 6005 W North Ave, Wauwatosa, WI 53213-1527 | 2013-03-06 |
| 1780951871 | First Pain Care, LLC | Clinic/Center | 11501 W North Ave, Wauwatosa, WI 53226-2127 | 2011-11-17 |
| 1689954950 | Dean Pain Management Sc | Clinic/Center | 6520 Casper Ct, Mount Pleasant, WI 53406-5811 | 2011-08-18 |
| 1376086611 | Clinical Pain Consultants, S.c. | Clinic/Center | 2500 North Mayfair Road, Suite 325, Wauwatosa, WI 53226 | 2016-11-18 |
| 1285011726 | Alleviant Pain & Joint Sc | Clinic/Center | 2600 N Mayfair Rd, Ste 505, Wauwatosa, WI 53226-1309 | 2015-05-05 |
| 1689051799 | Universal Pain Center Sc | Clinic/Center | 6001 W North Ave, Milwaukee, WI 53213-1527 | 2015-04-28 |
| 1275811861 | Pibcoa | Clinic/Center | 1101 W Clairemont Ave, Unit 1g, Eau Claire, WI 54701-4503 | 2011-07-29 |
| 1154474252 | Agapes Acupuncture, Sc | Clinic/Center | 566 Redbird Cir, De Pere, WI 54115-8796 | 2007-01-19 |
Please comment or provide details below to improve the information on HOLY FAMILY MEMORIAL INC.
| 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.