Organization
ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS
Active
Other names
St. Nicholas Hospital Renal Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SELLE (CEO)
(920) 459-4798
Entity
Organization
Contact information
Practice address
2925 SAEMANN AVE, SHEBOYGAN, WI 53081-1948
(920) 459-4790
(920) 783-0766
Mailing address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 459-8300
(920) 452-8336
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11009800
—
WI
Enumeration date
05/12/2006
Last updated
02/02/2022
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