Healthcare Provider Details

I. General information

NPI: 1548164932
Provider Name (Legal Business Name): ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 CLEVELAND AVE
MARINETTE WI
54143-3918
US

IV. Provider business mailing address

1409 CLEVELAND AVE
MARINETTE WI
54143-3918
US

V. Phone/Fax

Practice location:
  • Phone: 715-735-0095
  • Fax:
Mailing address:
  • Phone: 715-735-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRAVIS PITZEN
Title or Position: SYSTEM DIRECTOR-FINANCIAL OPERATION
Credential:
Phone: 920-431-3047