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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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1972166981
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 13508
Second Line :
City : GREEN BAY
State : WI
Zip : 54307-3508
Country : US
Telephone Number : 920-433-8044
Fax Number :
Provider Business Practice Location Address
First Line : 340 N GREEN BAY AVE
Second Line :
City : GILLETT
State : WI
Zip : 54124-9325
Country : US
Telephone Number : 920-855-2823
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : BRIAN CHARLIER
Credential :
Telephone Number : 920-676-1148
Provider Enumeration Date : 04/16/2019
Last Update Date : 12/23/2021

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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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