Door County Memorial Hospital

Organization Active NPI Durable Medical Equipment & Medical Supplies · Sturgeon Bay, WI

NPI 1407076573 · NPPES record last updated Mar 4, 2008

Key facts

NPI
1407076573
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
DOOR COUNTY MEMORIAL HOSPITAL
Practice address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone
(920) 743-5566
NPI assigned
Apr 30, 2007
Organization subpart
No

Authorized official

Name
Robert C Scieszinski
Title
VP Finance
Phone
(920) 746-3636

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Door Cnty Mem HSP (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WI Yes

Addresses

Primary practice location

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401

Mailing address

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566

Other identifiers

IdentifierTypeStateIssuer
41757900MedicaidWI

Other providers in Sturgeon Bay, WI

All providers in Sturgeon Bay, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.