Organization
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Active
Parent organization
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Other names
St Vincent Hospital Pediatric Neurology Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Authorized official
MR. KELLY GIGOT (ASSISTANT ADMINISTRATOR/CFO)
(920) 433-8287
Entity
Organization
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 433-0111
(920) 433-8765
Mailing address
PO BOX 13508, GREEN BAY, WI 54307-3508
(920) 433-8287
(920) 433-8765
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40424900
—
WI
Enumeration date
07/17/2006
Last updated
12/23/2021
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