# ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
- **Other names:** St Vincent Hospital Physician Service Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689694911
- **Legal business name:** ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
- **Authorized official:** TRAVIS PITZEN (MARKET DIRECTOR-FINANCE OPERATIONS)
- **Authorized official phone:** (920) 431-3047

## Contact information

- **Practice address:** 835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
- **Practice address phone:** (920) 433-8287
- **Practice address fax:** (920) 433-8765
- **Mailing address:** PO BOX 13508, GREEN BAY, WI 54307-3508
- **Mailing address phone:** (920) 433-8287
- **Mailing address fax:** (920) 433-8765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 02/12/2026