DOOR COUNTY MEMORIAL HOSPITAL (NPI# 1710081328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710081328 |
| Entity Type | Organization |
| Organization Name | DOOR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | DOOR COUNTY MEDICAL CENTER PHARMACY |
| Practice Address |
323 S 18th Ave Sturgeon Bay WI 54235-1401 |
| Practice Telephone | 9207435566 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MR. ANDREW S LALUZERNE (CFO) |
| Authorized Official Telephone | 9207463729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
7120 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33132200 | 05 |
| Other Name | Type Code |
|---|---|
| Door County Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1295393452 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2019-06-03 |
| 1497079784 | Door County Memorial Hospital | Clinic/Center | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2010-03-16 |
| 1578892857 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2009-12-15 |
| 1952639833 | Door County Memorial Hospital | Clinic/Center | 815 Jefferson St, Algoma, WI 54201-1733 | 2009-12-03 |
| 1407076573 | Door County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1417177650 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1659591899 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
| 1497850838 | Door County Memorial Hospital | Medicare Defined Swing Bed Unit | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2006-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOOR COUNTY MEMORIAL HOSPITAL | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Street Address |
323 S 18TH AVE |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934060 | James Freeman Heise | Internal Medicine | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2005-09-27 |
| 1871106492 | Allycia E Bretl | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-08-24 |
| 1871114116 | Catherine Helen Keller | Dietitian, Registered | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-28 |
| 1265060362 | Nicole Loretta Geier | Occupational Therapist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-01 |
| 1295393452 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2019-06-03 |
| 1003309048 | Jessica J Skinner | Registered Nurse | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-06-13 |
| 1295226702 | Lauren Daoust | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-05-21 |
| 1255877510 | Ruth Sohns | Nurse Practitioner | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2017-01-11 |
| 1649725938 | Tia Jackson | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-08-17 |
| 1962855577 | Alyssa Rae Lee | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
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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.