Organization
OCONTO HOSPITAL & MEDICAL CENTER INC
Active
Other names
Emplify Health - Kewaunee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY JULIA ENGEBOSE (CREDENTIALING SPECIALIST)
(920) 433-7860
Entity
Organization
Contact information
Practice address
575 4TH ST, KEWAUNEE, WI 54216-1785
(920) 388-4640
(920) 388-0479
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 388-4640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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