ST CLARE MEMORIAL HOSPITAL INC NPI 1346371358

NPI Information

NPI: 1346371358
Provider Name: ST CLARE MEMORIAL HOSPITAL, INC

Doing Business As: ST CLARE MEMORIAL HOSPITAL LENA HEALTH CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
200 S. ROSERA STREET
LENA, WI
ZIP 54139
Phone: (920) 829-6400
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ST CLARE MEMORIAL HOSPITAL, INC is a rural health clinic center in Lena, WI. ST CLARE MEMORIAL HOSPITAL, INC NPI is 1346371358. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As St Clare Memorial Hospital Lena Health Center.

The provider's business location address is:

200 S. ROSERA STREET
LENA, WI
ZIP 54139
Phone: (920) 829-6400
Fax: (920) 829-6403

The provider's authorized official is Patricia Allen .
The authorized official title is Cfo and has the following contact phone number (920) 884-5660.

The CLIA number assigned to this NPI record is 52D1042151 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/21/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		38208-020	WISCONSIN	No
2	261QR1300X	Clinic/Center	Rural Health			Yes
3	363A00000X	Physician Assistant		1428-023	WISCONSIN	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11014110	MEDICAID	WISCONSIN
2	3987482411009	OTHER	WISCONSIN	RICHLEN BC
3	294946191003	OTHER	WISCONSIN	CUPINO BC
4	1851477913	OTHER		CMH NPI
5	41969700	MEDICAID	WISCONSIN
6	32392300	MEDICAID	WISCONSIN

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: 5/5/2024

NPI Synchronization or Removal

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