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NPI Code Detail

MEDICARE: OCONTO HOSPITAL & MEDICAL CENTER INC

MEDICARE: OCONTO HOSPITAL & MEDICAL CENTER INC
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
1207V00000XObstetrics & Gynecology Physician
2208000000XPediatrics Physician
3207RE0101XEndocrinology, Diabetes & Metabolism Physician
4207U00000XNuclear Medicine Physician
5208600000XSurgery Physician
6207RP1001XPulmonary Disease Physician
7207Q00000XFamily Medicine Physician
8207K00000XAllergy & Immunology Physician
9207RC0000XCardiovascular Disease Physician
10207X00000XOrthopaedic Surgery Physician
11261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1528412673
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCONTO HOSPITAL & MEDICAL CENTER INC
Provider Business Mailing Address
First Line : PO BOX 1866
Second Line :
City : GREEN BAY
State : WI
Zip : 54305-1866
Country : US
Telephone Number : 920-445-7210
Fax Number : 920-445-7289
Provider Business Practice Location Address
First Line : 2820 ROOSEVELT ROAD
Second Line :
City : MARINETTE
State : WI
Zip : 54143-3834
Country : US
Telephone Number : 920-445-7226
Fax Number : 920-445-7229
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : ABBY J ENGEBOSE
Credential :
Telephone Number : 920-433-7860
Provider Enumeration Date : 04/14/2016
Last Update Date : 06/05/2026

Similar Medicare Providers

1881129351 — OCONTO HOSPITAL & MEDICAL CENTER, INC.
Practice Location Address:
2820 ROOSEVELT RD
MARINETTE, WI
54143-3834
Practice Phone: 715-735-5225
Practice Fax: 715-735-5388
1144725409 — OCONTO HOSPITAL & MEDICAL CENTER, INC.
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1417944810 — SANDRA B MACARTHUR MD
Practice Location Address:
2820 ROOSEVELT RD
MARINETTE, WI
54143-3834
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1740277151 — NICOLE A HINIKER MD
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Practice Fax: 715-735-5388
1316934730 — MICHAEL G MASSEE MD
Practice Location Address:
2820 ROOSEVELT ROAD
MARINETTE, WI
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1265429690 — BETH A GOETZMAN APNP
Practice Location Address:
2820 ROOSEVELT ROAD
MARINETTE, WI
54143-3834
Practice Phone: 715-735-5225
Practice Fax: 715-735-5388

Directions to “OCONTO HOSPITAL & MEDICAL CENTER INC ” Practice Location

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