Healthcare Provider Details

I. General information

NPI: 1528098530
Provider Name (Legal Business Name): ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 DOUSMAN ST
GREEN BAY WI
54303-3211
US

IV. Provider business mailing address

2661 COUNTY HIGHWAY I
CHIPPEWA FALLS WI
54729-5407
US

V. Phone/Fax

Practice location:
  • Phone: 920-498-8600
  • Fax:
Mailing address:
  • Phone: 715-723-1811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA LYNNE ALLEN
Title or Position: CFO
Credential:
Phone: 920-884-5660