| Organization Name: | ST CLARE MEMORIAL HOSPITAL, INC |
| NPI Number: | 1851477913 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL DEGROOT (COO) |
| Mailing Address: | 855 S Main St Oconto Falls |
| State: | WI US |
| Postal Code: | 541541241 |
| Phone Number: | 9208463444 |
| Fax Number: | 9208460250 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 09/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 1012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |