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ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS NPI 1629051990


NPI Information

NPI: 1629051990
Provider Name: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Doing Business As: ST VINCENT HOSPITAL RENAL DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1920 LIBAL ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-8287
Get Directions

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS is an end-stage renal disease (esrd) treatment clinic center in Green Bay, WI. ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS NPI is 1629051990. The provider is registered as an organization entity type.
The provider Is Doing Business As St Vincent Hospital Renal Dialysis.

The provider's business location address is:

1920 LIBAL ST
GREEN BAY, WI
ZIP 54301-471
Phone: (920) 433-8287
Fax: (920) 433-8765

The provider's authorized official is Joanne Horvath .
The authorized official title is Cfo and has the following contact phone number (920) 431-3211.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 12/23/2021.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
142064500MEDICAIDWISCONSIN

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

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