Organization
ST CLARE MEMORIAL HOSPITAL, INC
Active
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC
Other names
St Clare Memorial Hospital Gillett Health Center
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
340 N GREEN BAY AVE, GILLETT, WI 54124-9325
(920) 855-2823
(920) 855-6343
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38713-020
WI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1639340995
BOUCHER NPI
WI
01
—
1710966288
MALTINSKI NPI
WI
01
—
1851477913
CMH NPI
—
Enumeration date
03/07/2007
Last updated
02/12/2026
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