St Vincent Hospital-Hospital Sisters-Third Order of St Francis

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

NPI 1508096389 · NPPES record last updated Jun 9, 2026

Key facts

NPI
1508096389
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Practice address
2502 S Ashland Ave
Green Bay, WI 54304-5252
Phone
(920) 496-4700
NPI assigned
Jul 15, 2009
Organization subpart
Yes
Parent organization (as reported)
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Authorized official

Name
Amy Crouch
Title
Cfo Wi Market
Phone
(920) 496-4700

Owned or controlled facilities with NPI records 10

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

Other NPIs with the same Medicare PAC ID 15

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

Corporate family (same tax ID) 33

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

View all 33

Practitioners 593

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

View all 593

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0395082Prevea Ashwaubenon Health Center
2502 South Ashland Ave, Green Bay, WI 54304
AccreditationSep 7, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Door County Medical Center
Sturgeon Bay, WI · CCN 521358
Hospital Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Swing Bed
Sturgeon Bay, WI · CCN 52Z358
Hospital Operational/Managerial Control (40%) Nov 1, 2016
Pete and Jelaine Horton Center
Sturgeon Bay, WI · CCN 525377
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 28, 2016
Feb 14, 2025
Unity
De Pere, WI · CCN 521503
Hospice 5% Or Greater Direct Ownership Interest (45%)
Limited Partnership Interest (45%)
Operational/Managerial Control (45%)
Oct 1, 1992
Oct 1, 1992
Oct 1, 1992
Door County Medical Center Sturgeon Bay
Sturgeon Bay, WI · CCN 528531
Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Sister Bay
Sister Bay, WI · CCN 528532
Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Algoma
Algoma, WI · CCN 528530
Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Washington Island
Washington Island, WI · CCN 528515
Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Directcare
Sturgeon Bay, WI · CCN 528654
Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930084409 WI DME Supplier - Physician - General Surgery 5799694675 Practice locations: Green Bay, WI

National Provider Directory

Tax ID family
St Vincent Hospital-Hospita (34 organizations share this tax ID)
Part of
St Vincent Hospital-Hospita

Specialties & licenses

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

Addresses

Primary practice location

2502 S Ashland Ave
Green Bay, WI 54304-5252

Mailing address

PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700

Other identifiers

IdentifierTypeStateIssuer
0481340012OtherWIDME PTAN

Other names

  • Prevea Health Doing business as
  • Prevea Health-Ashwaubenon DME Supplier Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address prevea_transitions_of_care2201213@ewd.direct.hshs.org Direct

Other providers in Green Bay, WI

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

Sources for this page

Verify at the official NPI Registry.