LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN (NPI# 1639187412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639187412 |
| Entity Type | Organization |
| Organization Name | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| Practice Address |
112 E 5th Ave Antigo WI 54409-2710 |
| Practice Telephone | 7156232331 |
| Mailing Telephone | 7156232331 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | PATRICK H TINCHER (CFO) |
| Authorized Official Telephone | 7156232331 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
1055 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11018100 | 05 | |
| WI | 11018110 | 05 | |
| WI | 32765700 | 05 | |
| WI | 41230700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740310226 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Clinical Medical Laboratory | 112 E 5th Ave, Antigo, WI 54409-2710 | 2007-03-06 |
| 1295870731 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Clinic/Center | 112 E 5th Ave, Antigo, WI 54409-2710 | 2007-02-21 |
| 1841354214 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Hospice Care, Community Based | 112 E 5th Ave, Antigo, WI 54409-2710 | 2006-12-20 |
| 1750445540 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Durable Medical Equipment & Medical Supplies | 112 E 5th Ave, Antigo, WI 54409-2710 | 2006-12-19 |
| 1821151366 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Clinic/Center | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-12-18 |
| 1831251040 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Clinic/Center | W10618 Clinic St, Elcho, WI 54428-9619 | 2006-12-14 |
| 1891741195 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Anesthesiology | 112 E 5th Ave, Antigo, WI 54409-2710 | 2006-05-26 |
| Street Address |
112 E 5TH AVE |
| City | ANTIGO |
| State | WI |
| Zip Code | 54409-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1295381481 | Melissa Flannery | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-08-13 |
| 1285295105 | Samantha Jean Stimac | Physical Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-06-21 |
| 1467016899 | Nikole Lynn Larkin | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-05-01 |
| 1487218400 | Rachael Elizabeth Miller | Physical Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-04-24 |
| 1366908790 | Hannah Elizabeth Wenzlick | Physician Assistant | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-02-11 |
| 1700359106 | Stephanie Krautkramer | Speech-Language Pathologist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-01-08 |
| 1710467444 | Carolyn Kelk | Dietitian, Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-08-21 |
| 1982181913 | Courtney Lynn Mattek | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-07-23 |
| 1922593805 | Dylan Michael Graff | Physician Assistant | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454036 | Jason Peter Cueny | Pharmacist | 200 E Highway 64, Antigo, WI 54409 | 2020-10-15 |
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1033753512 | Joseph Gerger | Technician | 711 Badger Ave, Antigo, WI 54409 | 2019-10-29 |
| 1225368780 | Integrated Pain Solutions LLC | Clinic/Center | 2327 Neva Road, Antigo, WI 54409 | 2010-01-06 |
| 1558525212 | Jessica E Rosenberg | Social Worker | 310 South Superior Street, Antigo, WI 54409 | 2008-07-11 |
| 1053433292 | Raymond J Portman | Dentist | 705 Fifth Ave, Antigo, WI 54409 | 2007-04-06 |
| 1699801316 | Rick L Perkins | Obstetrics & Gynecology | Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 | 2007-02-26 |
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| 1811061187 | Rosanne Schermetzler | Occupational Therapist | 720 Ackley Street, Antigo, WI 54409 | 2006-11-20 |
| 1912084070 | Antigo Total Therapy & Sports Rehab Center Inc | Physical Therapist | 720 Askley Street, Antigo, WI 54409 | 2006-11-01 |
| Find all providers in zip 54409 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336316140 | Rural Dental Health Project | General Acute Care Hospital | 1111 Langlade Rd, Antigo, WI 54409-2738 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1255662573 | Donald Morris Levy | General Acute Care Hospital | 4348 W Tarrytown Ln, Mequon, WI 53092-4850 | 2010-01-26 |
| 1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
| 1104953090 | New Anesthesia | General Acute Care Hospital | 1236 Stillmeadow Ln, Menasha, WI 54952-8920 | 2007-02-27 |
| 1184765240 | Tomah Memorial Hospital Inc | General Acute Care Hospital | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-10 |
| 1194737817 | Chippewa Valley Hospital & Oakview Care Center, Inc. | General Acute Care Hospital | 1220 3rd Ave W, Durand, WI 54736-1600 | 2006-08-12 |
| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1881640183 | Westfields Hospital, Inc. | General Acute Care Hospital | 535 Hospital Road, New Richmond, WI 54017-1449 | 2006-05-26 |
| 1053362624 | Ripon Medical Center Inc | General Acute Care Hospital | 845 Parkside Street, Ripon, WI 54971-8505 | 2006-05-16 |
| 1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
| 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.