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

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Green Bay, WI

NPI 1629051990 · NPPES record last updated Dec 23, 2021

Key facts

NPI
1629051990
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Practice address
1920 Libal St
Green Bay, WI 54301-2471
Phone
(920) 433-8287
Fax
(920) 433-8765
NPI assigned
Nov 21, 2005
Organization subpart
Yes
Parent organization (as reported)
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Authorized official

Name
Ms. Joanne Horvath
Title
Cfo
Phone
(920) 431-3211

National Provider Directory

Part of
St Vincent Hospital-Hospita

Locations

1920 Libal St
Green Bay, WI 54301
Phone (920) 432-5434

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

1920 Libal St
Green Bay, WI 54301-2471

Mailing address

PO Box 13508
Green Bay, WI 54307-3508
Phone (920) 433-8287

Other identifiers

IdentifierTypeStateIssuer
42064500MedicaidWI

Other names

  • St Vincent Hospital Renal Dialysis Doing business as

Electronic endpoints

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

Other providers in Green Bay, WI

All providers in Green Bay, WI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.