Organization
ST CLARE MEMORIAL HOSPITAL, INC
Active
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC
Other names
St Clare Memorial Hospital Lena 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
200 S. ROSERA STREET, LENA, WI 54139
(920) 829-6400
(920) 829-6403
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
38208-020
WI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
1428-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1851477913
CMH NPI
—
01
—
294946191003
CUPINO BC
WI
05
—
32392300
—
WI
01
—
3987482411009
RICHLEN BC
WI
05
—
41969700
—
WI
Enumeration date
03/08/2007
Last updated
02/12/2026
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