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NPI Code Detail

MEDICARE: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

MEDICARE: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital19WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114908001
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Provider Business Mailing Address
First Line : PO BOX 13508
Second Line :
City : GREEN BAY
State : WI
Zip : 54307-3508
Country : US
Telephone Number : 920-433-8287
Fax Number : 920-433-8765
Provider Business Practice Location Address
First Line : 835 S VAN BUREN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3526
Country : US
Telephone Number : 920-433-8287
Fax Number : 920-433-8765
Authorized Official
Title or Position : MARKET DIRECTOR-FINANCE OPERATIONS-
Name : TRAVIS PITZEN
Credential :
Telephone Number : 920-431-3047
Provider Enumeration Date : 11/08/2005
Last Update Date : 02/12/2026

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Directions to “ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS ” Practice Location

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