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Organization

ST CLARE MEMORIAL HOSPITAL, INC

Active
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC
Other names
St Clare Memorial Hospital Lab
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST CLARE MEMORIAL HOSPITAL, INC
Authorized official
PATRICIA ALLEN (CFO)
(920) 884-5660
Entity
Organization

Contact information

Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-3166
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326349135
CMH SB NPI
WI
01
1851477913
CMH NPI
Enumeration date
05/12/2008
Last updated
12/23/2021
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