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ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS NPI 1629738471


NPI Information

NPI: 1629738471
Provider Name: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Doing Business As: PREVEA SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 52D2253024

Address:
1830 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 496-4700
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ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS is an ambulatory surgical clinic center in Green Bay, WI. ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS NPI is 1629738471. The provider is registered as an organization entity type.
The provider Is Doing Business As Prevea Surgery Center.

The provider's business location address is:

1830 SHAWANO AVE
GREEN BAY, WI
ZIP 54303-667
Phone: (920) 496-4700

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

The CLIA number assigned to this NPI record is 52D2253024 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 6/29/2022.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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