OCONTO HOSPITAL & MEDICAL CENTER, INC. (NPI# 1609018589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609018589 |
| Entity Type | Organization |
| Organization Name | OCONTO HOSPITAL & MEDICAL CENTER, INC. |
| Other Organization Name | OCONTO CLINIC |
| Practice Address |
820 Arbutus Ave Oconto WI 54153-2004 |
| Practice Telephone | 9208351100 |
| Practice Fax Number | 9208351099 |
| Mailing Telephone | 9208351100 |
| Mailing Fax Number | 9208351099 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9204457222 |
| Is Organization Subpart | Y |
| Parent Organization Name | OCONTO HOSPITAL & MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1609018589 | 05 |
| Other Name | Type Code |
|---|---|
| OCONTO CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038313 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 107 E Highland Dr, Oconto Falls, WI 54154-1002 | 2020-06-23 |
| 1386149540 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 106 S School Rd, Daggett, MI 49821-8555 | 2018-03-28 |
| 1689179947 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 1100 10th St, Menominee, MI 49858-3062 | 2018-03-28 |
| 1144725409 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2018-03-28 |
| 1760987028 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 441 French St, Peshtigo, WI 54157-1203 | 2018-03-28 |
| 1881129351 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-04-21 |
| 1043668643 | Oconto Hospital & Medical Center, Inc. | Family Medicine | 106 S School Rd, Daggett, MI 49821-8555 | 2016-05-25 |
| 1649628249 | Oconto Hospital & Medical Center, Inc. | Family Medicine | 441 French St, Peshtigo, WI 54157-1203 | 2016-05-25 |
| 1356799969 | Oconto Hospital & Medical Center, Inc. | Family Medicine | 1100 10th St, Menominee, MI 49858-3062 | 2016-05-25 |
| 1174971725 | Oconto Hospital & Medical Center, Inc. | Family Medicine | 218 S Hwy 141, Crivitz, WI 54114-1677 | 2016-05-24 |
| Street Address |
820 ARBUTUS AVE |
| City | OCONTO |
| State | WI |
| Zip Code | 54153-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496826 | Robert A Bivins | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2005-12-05 |
| 1720635485 | Erin Lynne Pape | Nurse Practitioner | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-08-19 |
| 1114579836 | Oconto Hospital & Medical Center Inc | Dietitian, Registered | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-07-12 |
| 1285292078 | Jacob Malone | Dentist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-06-05 |
| 1689151599 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2018-07-24 |
| 1730693888 | Leslie M Wochos | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-11-28 |
| 1912418179 | Baycare Clinic, LLP | Neurological Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-10-16 |
| 1255868113 | Kate Marie Vanalstyne | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-05-22 |
| 1861899833 | Wisconsin Sports Medicine and Orthopedics,s.c. | Orthopaedic Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-11-19 |
| 1659781441 | Michael Jon Brenner | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240650 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153 | 2008-03-31 |
| 1912997081 | Benzer Wi 1 LLC | Pharmacy | 1008 Main St, Oconto, WI 54153 | 2005-10-28 |
| 1245758127 | Hayley Joy Maxwell | Counselor | 501 Park Ave, Oconto, WI 54153 | 2017-08-31 |
| 1538542089 | Aliaksandr Trusau | Internal Medicine | 620 Smith Ave, Oconto, WI 54153 | 2015-07-01 |
| 1467879296 | Christopher Hanke | Counselor | 501 Park Ave, Oconto, WI 54153 | 2014-03-18 |
| 1669807020 | Joshua Ammon Weenig | Dentist | 1210 Pecor St, Oconto, WI 54153 | 2013-09-04 |
| 1932252533 | Oconto County Health & Human Services | Registered Nurse | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1841343449 | Oconto County Health & Human Services | Hospice Care, Community Based | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1396967253 | Matthew James Karban | Dentist | 500 Superior Avenue, Oconto, WI 54153-0298 | 2007-05-02 |
| 1811492929 | Katie Daniels | Nurse Practitioner | 530 Smith Ave, Oconto, WI 54153-1010 | 2018-03-29 |
| Find all providers in zip 54153 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1770123218 | Mchs Hospitals, Inc. | Clinic/Center | 3606 Schneider Ave Se, Menomonie, WI 54751-5674 | 2020-01-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.