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Organization

ST CLARE MEMORIAL HOSPITAL, INC

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

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1019840001
MEDICAID HMO ID NUMBER
WI
05
11014100
WI
05
11014110
WI
01
1326349135
CMH SB NPI
WI
Enumeration date
10/31/2006
Last updated
02/12/2026
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