| St Clare Memorial Hospital, Inc | |
|
340 N Green Bay Ave Gillett WI 54124-9325 | |
| (920) 855-2823 | |
| (920) 855-6343 |
| Full Name | St Clare Memorial Hospital, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 N Green Bay Ave, Gillett, Wisconsin |
| Authorized Official Name and Position | Patricia Allen (CFO) |
| Authorized Official Contact | 9208845660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Clare Memorial Hospital, Inc 855 S Main St Oconto Falls WI 54154-1241 Ph: (920) 846-3444 | St Clare Memorial Hospital, Inc 340 N Green Bay Ave Gillett WI 54124-9325 Ph: (920) 855-2823 |
| NPI Number | 1134250905 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 0446211395 |
|---|---|
| Medicare Enrollment ID | O20110221000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134250905 | NPI | - | NPPES |
| 1851477913 | Other | CMH NPI | |
| 11014110 | Medicaid | WI | |
| 1639340995 | Other | WI | BOUCHER NPI |
| 1710966288 | Other | WI | MALTINSKI NPI |
The Caring Doctor, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 N Green Bay Ave, Gillett, WI 54124 Phone: 920-855-2823 Fax: 920-855-6343 |