Organization Name: | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
NPI Number: | 1578967220 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY GIGOT (VICE PRESIDENT, FINANCE) |
Mailing Address: | 853 South Main St Suite A Oconto Falls |
State: | WI US |
Postal Code: | 54154 |
Phone Number: | 9204338448 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2014 |
NPI Last Update Date: | 10/09/2014 |
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: |