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NPI Code Detail

MEDICARE: ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS

MEDICARE: ST. NICHOLAS HOSPITAL-SISTERS OF THE 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 Hospital37WI

Other Identifiers

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

General Provider Information

NPI Number : 1730184342
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
Provider Business Mailing Address
First Line : 3100 SUPERIOR AVE
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-1948
Country : US
Telephone Number : 920-459-8300
Fax Number : 920-452-8336
Provider Business Practice Location Address
First Line : 3100 SUPERIOR AVE
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-1948
Country : US
Telephone Number : 920-459-8300
Fax Number : 920-452-8336
Authorized Official
Title or Position : MARKET DIRECTOR-FINANCE OPERATIONS
Name : TRAVIS PITZEN
Credential :
Telephone Number : 920-431-3047
Provider Enumeration Date : 06/20/2005
Last Update Date : 02/12/2026

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