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Organization

ST CLARE MEMORIAL HOSPITAL, INC

Active
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC
Other names
St Clare Memorial Hospital Suring 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
913 EAST MAIN STREET, SURING, WI 54174
(920) 842-1147
(920) 842-1160
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
363L00000X
Nurse Practitioner
54392-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003898867
ZAHN NPI
WI
05
11014110
WI
01
1851477913
CMH NPI
05
32843600
WI
Enumeration date
03/08/2007
Last updated
02/12/2026
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