NPIMap

Organization Active NPI

Oconto Hospital & Medical Center, Inc.

Doing business as Bellin Health Daggett

  • Rural Health Clinic/Center
  • Daggett, MI
National Provider Identifier
1043668643
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OCONTO HOSPITAL & MEDICAL CENTER, INC.
Doing business as
Bellin Health Daggett
Emplify Health Daggett Clinic
Practice address
106 S School Rd
Daggett, MI 49821-8555
Phone
(906) 753-2155
Fax
(906) 753-2716
NPI assigned
May 25, 2016
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Family Medicine Physician 207Q00000X

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 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043668643. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Dec 14, 2005 in WI
Enrollment address
106 S School Rd
Daggett, MI 49821-8555
Related CCNs
521356

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

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

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 DirectorDirector May 1, 2026
W-2 Managing EmployeeDirector May 1, 2026
Sharla Baenen Individual Corporate Officer Oct 1, 2022
Sara L Arndt Individual Corporate DirectorBoard Member Sep 21, 2010
W-2 Managing EmployeeTeam 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

Owners & managing parties with NPI records 23

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

View all 23

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

Owned or controlled facilities with NPI records 8

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

Facilities with the same owner 51

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

View all 51

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1043668643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543051866",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S SCHOOL RD",
            "city": "DAGGETT",
            "state": "MI",
            "postal_code": "498218555",
            "telephone_number": "906-753-2155",
            "fax_number": "906-753-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONTO HOSPITAL & MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "VAN PAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "920-436-8628"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Health Daggett",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emplify Health Daggett Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daggett, MI

Sources for this page

Verify at the official NPI Registry.