Organization
LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2331
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
1055
WI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11018100
—
WI
05
—
11018110
—
WI
05
—
32765700
—
WI
05
—
41230700
—
WI
Enumeration date
08/04/2006
Last updated
02/26/2026
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