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Oconto Hospital & Medical Center, Inc.

Organization Active NPI Rural Health Clinic/Center · Daggett, MI

NPI 1043668643 · NPPES record last updated Sep 9, 2026

Key facts

NPI
1043668643
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
OCONTO HOSPITAL & MEDICAL CENTER, INC.
Practice address
106 S School Rd
Daggett, MI 49821-8555
Phone
(906) 753-2155
Fax
(906) 753-2716
NPI assigned
May 25, 2016
Organization subpart
No

Authorized official

Name
Debra Van Pay
Title
Director, Reimbursement
Phone
(920) 436-8628

Owners & managing parties with NPI records 23

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 51

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 51

Practitioners 233

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 233

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI

Rural health clinic certification: CCN 238704

Legal name
OCONTO HOSPITAL & MEDICAL CENTER INC
Doing business as
EMPLIFY HEALTH DAGGETT CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 14, 2016
Last certification
Jul 15, 2021
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Dec 14, 2005 in WI
Enrollment address
106 S School Rd
Daggett, MI 49821-8555
Related CCNs
521356

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Landrum
Individual 		Corporate Director Jan 1, 2025
Scott Rathgaber
Individual 		Corporate Officer Jan 1, 2025
Oconto Hospital & Medical Center Inc
Organization · Oconto, WI
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Nov 14, 2016 100%
Debra Van Pay
Individual 		Corporate Director
Director		 May 1, 2026
W-2 Managing Employee
Director		 May 1, 2026
Sharla Baenen
Individual 		Corporate Officer Oct 1, 2022
Sara L Arndt
Individual 		Corporate Director
Board Member		 Sep 21, 2010
W-2 Managing Employee
Team Leader Accounting		 Oct 1, 2022
Bellin Gundersen Health System Inc
Organization · La Crosse, WI
Corporation, Non-profit 		5% Or Greater Indirect Ownership Interest Dec 1, 2022
Bellin Health Systems, Inc.
Organization · Green Bay, WI
Corporation, Non-profit 		5% Or Greater Indirect Ownership Interest Nov 14, 2016
Heather Schimmers
Individual 		Corporate Director May 1, 2026
Laura a Hieb
Individual 		Corporate Director Nov 14, 2016
Peter Vandenhouten
Individual 		Corporate Director Jan 1, 2025
Bellin Memorial Hospital Inc
Organization · Green Bay, WI
Corporation, Non-profit 		5% Or Greater Indirect Ownership Interest Nov 14, 2016

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Emplify Health Oconto Clinic
Oconto, WI · CCN 528554		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Emplify Health Peshtigo Clinic
Peshtigo, WI · CCN 528580		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Crivitz Clinic
Crivitz, WI · CCN 528579		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Menominee Clinic
Menominee, MI · CCN 238705		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Marinette Clinic
Marinette, WI · CCN 528578		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Oconto Falls Clinic
Oconto Falls, WI · CCN 528617		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Emplify Health Lakewood Clinic
Lakewood, WI · CCN 528630		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Emplify Health Suring Clinic
Suring, WI · CCN 528631		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 19, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20161123001560 MI Part B Supplier - Clinic/Group Practice 2163461781 Receives reassigned benefits from 41 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Menominee, MI; Daggett, MI
O20170227000805 MI Part a Provider - Rural Health Clinic 2163461781 Practice locations: Daggett, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

106 S School Rd
Daggett, MI 49821-8555

Mailing address

PO Box 1866
Green Bay, WI 54305-1866
Phone (920) 445-7210

Other names

  • Bellin Health Daggett Doing business as
  • Emplify Health Daggett Clinic Doing business as

Other providers in Daggett, MI

All providers in Daggett, MI · Rural Health Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.