NPIMap

Organization Active NPI

Door County Memorial Hospital

Doing business as Door County Medical Center Washington Island

  • Non-Pharmacy Dispensing Site
  • Washington Island, WI
National Provider Identifier
1629787114
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DOOR COUNTY MEMORIAL HOSPITAL
Doing business as
Door County Medical Center Washington Island
Practice address
910 Main Rd
Washington Island, WI 54246-9004
Phone
(920) 743-5566
NPI assigned
Nov 23, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Andrew S Lalauzerne
Title
Cfo
Phone
(920) 746-3729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

910 Main Rd
Washington Island, WI 54246-9004

Mailing address

910 Main Rd
Washington Island, WI 54246-9004
Phone (920) 743-5566

Other names 1

  • Door County Medical Center Washington Island Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael Brunobay PT CL16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1629787114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MAIN RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469004",
            "telephone_number": "920-743-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAIN RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469004",
            "telephone_number": "920-743-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOOR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LALAUZERNE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-746-3729"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Door County Medical Center Washington Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington Island, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.