Oconto Hospital & Medical Center Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

OCONTO HOSPITAL & MEDICAL CENTER INC

Doing business as

Emplify Health Luxemburg Clinic

Practice address

140B School Creek TRL
Luxemburg, WI 54217-1095

Phone

(920) 845-1370

Fax

(920) 845-1379

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Van Pay

Title

Director, Reimbursement

Phone

(920) 436-8628

Specialties & licenses 2

Addresses

Other names 1

• Emplify Health Luxemburg Clinic Doing business as

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1598669475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543051866",
            "telephone_number": "920-845-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140B SCHOOL CREEK TRL",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171095",
            "telephone_number": "920-845-1370",
            "fax_number": "920-845-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONTO HOSPITAL & MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "VAN PAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "920-436-8628"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emplify Health Luxemburg Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxemburg Pharmacy, LLC
• Luxemburg Pharmacy, LLC
• Sadie Lynn Mleziva, MS CCC SLP
• Kaylee T Ninnemann, LPC
• Lisa Marie Noskowiak, LPN
• Amanda Marie Olson, RN, BSN
• P&J Oaks (Oak Creek Assisted Living)
• Susan M. Parker, OTR
• Kristen A Powell, M.D.
• Prevea Clinic, Inc.

• Rural Health Clinic/Center in Luxemburg, WI
• Providers in Luxemburg, WI by specialty
• Rural Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.