Organization
ST CLARE MEMORIAL HOSPITAL, INC
Active
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC
Other names
St Clare Memorial Hospital Mountain 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
14353 HWY 32/64, MOUNTAIN, WI 54149
(715) 276-1600
(715) 276-1800
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
23967-020
WI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1316940927
GREMBAN NPI
WI
01
—
1689677213
BOLLENBACH NPI
WI
01
—
1851477913
CMH NPI
—
Enumeration date
10/13/2006
Last updated
02/12/2026
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