Organization
ST CLARE MEMORIAL HOSPITAL, INC
Active
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC
Other names
St Clare Memorial Hospital Oconto Falls 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
835 S MAIN ST, SUITE 1, OCONTO FALLS, WI 54154-1282
(920) 846-8187
(920) 846-2073
Mailing address
835 S MAIN ST STE 1, OCONTO FALLS, WI 54154-1282
(920) 846-8187
(920) 846-2073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33603-020
WI
207Q00000X
Family Medicine Physician
38426-020
WI
207Q00000X
Family Medicine Physician
48740-020
WI
207R00000X
Internal Medicine Physician
34230-020
WI
207R00000X
Internal Medicine Physician
39408-020
WI
208600000X
Surgery Physician
21763-20
WI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
1233-023
WI
363L00000X
Nurse Practitioner
1075-033
WI
363L00000X
Nurse Practitioner
2770-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023092715
NPI KLEMENS
—
01
—
1306825872
NPI PEREZ
—
01
—
1477532943
NPI BALMADRID
—
01
—
1639166853
LIEBL NPI
WI
01
—
1679613475
NPI ELKINS
—
01
—
1811906555
NPI BHATOYA
—
01
—
1851477913
NPI CMH
—
Enumeration date
03/07/2007
Last updated
02/12/2026
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