NPIMap

Organization Active NPI

St Josephs Hospital of the Hospital Sisters of the Third Order of St F

Doing business as Libertas

  • Special Hospital
  • Green Bay, WI
National Provider Identifier
1528098530
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
Doing business as
Libertas
Practice address
1701 Dousman St
Green Bay, WI 54303-3211
Phone
(920) 498-8600
NPI assigned
Jul 4, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Patricia Lynne Allen
Title
Cfo
Phone
(920) 884-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

1701 Dousman St
Green Bay, WI 54303-3211

Mailing address

2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone (715) 723-1811

Other identifiers 1

IdentifierTypeStateIssuer
10065600MedicaidWI

Other names 1

  • Libertas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
L E Phillips Outpatnt P14 organizations share this tax ID, including this one
Part of
L E Phillips Outpatnt P

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1528098530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295407",
            "telephone_number": "715-723-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DOUSMAN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033211",
            "telephone_number": "920-498-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-884-5660"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10065600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Libertas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Libertas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.