Organization
ST CLARE MEMORIAL HOSPITAL, INC.
Active
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC.
Other names
St Clare Memorial Hospital Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST CLARE MEMORIAL HOSPITAL, INC.
Authorized official
TRAVIS PITZEN (MARKET DIRECTOR-FINANCE OPERATIONS)
(920) 431-3047
Entity
Organization
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-4589
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-4589
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
5339042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326349135
CMH SB NPI
WI
01
—
1851477913
CMH NPI
WI
05
—
33285700
—
WI
01
—
5111745
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/25/2006
Last updated
02/12/2026
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