DOOR COUNTY MEMORIAL HOSPITAL (NPI# 1952639833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952639833 |
| Entity Type | Organization |
| Organization Name | DOOR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | DOOR COUNTY MEDICAL CENTER ALGOMA |
| Practice Address |
815 Jefferson St Algoma WI 54201-1733 |
| Mailing Address |
323 S 18th Ave Sturgeon Bay WI 54235-1401 |
| Practice Telephone | 9204873496 |
| Mailing Telephone | 9207435566 |
| Enumeration Date | 2009-12-03 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Door County Medical Center Algoma | 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 |
| 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 |
| 1710081328 | Door County Memorial Hospital | General Acute Care Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2006-09-12 |
| 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 |
815 JEFFERSON ST |
| City | ALGOMA |
| State | WI |
| Zip Code | 54201-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841209178 | Ralph Bradley Nelson | Internal Medicine | 815 Jefferson St, Algoma, WI 54201-1733 | 2006-08-05 |
| 1104949387 | Nathan C Hayes | Family Medicine | 815 Jefferson St, Algoma, WI 54201-1733 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609905645 | Rebecca Havel Prust | Dentist | 1223 Lake Street, Algoma, WI 54201 | 2007-03-05 |
| 1780734418 | Lakeshore Vision Centers, Ltd | Clinic/Center | 1021 Jefferson St., Algoma, WI 54201 | 2007-01-12 |
| 1306905575 | Alan William Haubenschild | Dentist | 409 5th St, Algoma, WI 54201 | 2006-12-06 |
| 1336128081 | Lisa Olson | Physician Assistant | 1510 Fremont St, Algoma, Algoma, WI 54201 | 2006-01-11 |
| 1477559938 | Robert James Anderson | Family Medicine | 831 Parker St, Algoma, WI 54201-0185 | 2005-06-21 |
| 1841603693 | Katie Ann Lukes | Registered Nurse | 831 Parker St, Algoma, WI 54201-0185 | 2014-06-10 |
| 1124438478 | Bellin Psychiatric Center Inc | Counselor | 831 Parker St, Algoma, WI 54201-0185 | 2014-05-07 |
| 1558372094 | City of Algoma | Ambulance | 400 3rd St, Algoma, WI 54201-1211 | 2006-08-10 |
| 1447291331 | Kay K Secrest | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2006-06-09 |
| 1528106929 | Secrest Family Chiropractic LLC | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2007-02-01 |
| Find all providers in zip 54201 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on DOOR COUNTY MEMORIAL HOSPITAL.
| 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.