NPIMap

Organization Active NPI

St. Clare Memorial Hospital Inc.

Doing business as HSHS St. Clare Women's Care

  • Obstetrics & Gynecology Physician
  • Marinette, WI
National Provider Identifier
1508224510
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ST. CLARE MEMORIAL HOSPITAL INC.
Doing business as
HSHS St. Clare Women's Care
Practice address
2545 Roosevelt Rd
Suite 105
Marinette, WI 54143-3884
Phone
(920) 846-9995
NPI assigned
Feb 4, 2016
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CLARE MEMORIAL HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Daniel Degroot
Title
Coo
Phone
(920) 846-4581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

2545 Roosevelt Rd
Suite 105
Marinette, WI 54143-3884

Mailing address

855 S Main St
Oconto Falls, WI 54154-1241

Other names 1

  • HSHS St. Clare Women's Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Memorial Hosp16 organizations share this tax ID, including this one
Part of
Community Memorial Hosp

Other organizations with this tax ID 15

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

View all 15

Locations

2545 Roosevelt Rd
Ste 105
Marinette, WI 54143
Phone (920) 846-9995

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1508224510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MAIN ST",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 ROOSEVELT RD",
            "address_2": "SUITE 105",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433884",
            "telephone_number": "920-846-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLARE MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CLARE MEMORIAL HOSPITAL INC.",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "DEGROOT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "920-846-4581"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSHS St. Clare Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.