Organization
DOOR COUNTY MEMORIAL HOSPITAL
Active
Other names
Door County Medical Center Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW S LALUZERNE (CFO)
(920) 746-3729
Entity
Organization
Contact information
Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11018400
—
WI
Enumeration date
09/13/2006
Last updated
04/06/2022
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