| Organization Name: | ST MICHAELS HOSPITAL OF STEVENS POINT INC |
| NPI Number: | 1255595203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM HINNER (REGIONAL VP FINANCE/CFO) |
| Mailing Address: | 190 Grand Seasons Dr Waupaca |
| State: | WI US |
| Postal Code: | 549818219 |
| Phone Number: | 7152583401 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2008 |
| NPI Last Update Date: | 07/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |