| Organization Name: | ST CLARE MEMORIAL HOSPITAL, INC |
| NPI Number: | 1821216276 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL DEGROOT (CEO) |
| Mailing Address: | 835 S Main St Suite 2 Oconto Falls |
| State: | WI US |
| Postal Code: | 541541282 |
| Phone Number: | 9208469995 |
| Fax Number: | 9208468031 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |