Organization
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS PITZEN (MARKET DIRECTOR-FINANCE OPERATIONS)
(920) 431-3047
Entity
Organization
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 498-4200
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3282
(920) 498-4200
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11013800
—
WI
01
—
CD2700
RAILROAD MEDICARE
WI
Enumeration date
02/27/2006
Last updated
02/12/2026
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