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ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS NPI 1285613638


NPI Information

NPI: 1285613638
Provider Name: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Doing Business As: PREVEA HEALTH

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2710 EXECUTIVE DR
GREEN BAY, WI
ZIP 54304
Phone: (920) 433-8287
Get Directions

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS is a general practice in Green Bay, WI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS NPI is 1285613638. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prevea Health.

The provider's business location address is:

2710 EXECUTIVE DR
GREEN BAY, WI
ZIP 54304-496
Phone: (920) 433-8287
Fax: (920) 433-8765

The provider's authorized official is Patricia Allen .
The authorized official title is Chief Financial Officer and has the following contact phone number (920) 496-4700.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 11/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2207K00000XAllergy & ImmunologyNo
3207Q00000XFamily MedicineNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
6207R00000XInternal MedicineNo
7207RC0000XInternal MedicineCardiovascular DiseaseNo
8207RG0100XInternal MedicineGastroenterologyNo
9208200000XPlastic SurgeryNo
10208600000XSurgeryNo
11208800000XUrologyNo
12208M00000XHospitalistNo
13225100000XPhysical TherapistNo
14225X00000XOccupational TherapistNo
15208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121284600MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.