Organization
ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
Active
Parent organization
ST NICHOLAS HOSPITAL -SISTERS OF THIRD ORDER OF ST FRANCIS
Other names
Prevea Health Employer Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST NICHOLAS HOSPITAL -SISTERS OF THIRD ORDER OF ST FRANCIS
Authorized official
ANDREW J BAGNALL (PRESIDENT AND CEO)
(920) 496-4700
Entity
Organization
Contact information
Practice address
1020 S TAYLOR DR, SHEBOYGAN, WI 53081-4773
(920) 496-4700
Mailing address
PO BOX 19059, GREEN BAY, WI 54307-9059
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/08/2013
Last updated
12/22/2021
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