Green Bay Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

GREEN BAY HOSPITAL, LLC

Practice address

2465 Monroe Rd
De Pere, WI 54115-2892

Phone

(713) 660-0555

NPI assigned

Oct 6, 2023

Organization subpart

No

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

Authorized official

Name

Tom Vo

Title

Manager

Phone

(713) 660-0557

Specialties & licenses 1

Addresses

Other names 1

• Green Bay ER & Hospital Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1326829326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 S RICE AVE STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812944",
            "telephone_number": "713-660-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 MONROE RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152892",
            "telephone_number": "713-660-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BAY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-660-0557"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Bay ER & Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Bay ER & Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Gostisha, PHARM.D
• Heather Grace, RD
• Jennifer Lynn Graichen-Huettl, COTA
• Green Bay Allergy,Asthma & Immunology SC
• Green Bay Ep, LLC
• Green Bay Ip, LLC
• Kellie Greenwood
• Donna M Grenfell, PA
• Laura Y Griffin, OTR
• Charles G Groves, PSY.D

• General Acute Care Hospital in De Pere, WI
• Providers in De Pere, WI by specialty
• General Acute Care Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.