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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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1629738471
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 19070
Second Line :
City : GREEN BAY
State : WI
Zip : 54307-9070
Country : US
Telephone Number : 920-496-4700
Fax Number :
Provider Business Practice Location Address
First Line : 1830 SHAWANO AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-2667
Country : US
Telephone Number : 920-496-4700
Fax Number :
Authorized Official
Title or Position : CFO WI MARKET
Name : AMY CROUCH
Credential :
Telephone Number : 920-884-5660
Provider Enumeration Date : 12/21/2021
Last Update Date : 01/19/2026

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

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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