NPIMap

Organization Active NPI

Oconto Hospital & Medical Center Inc

Doing business as Emplify Health Oconto Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Oconto, WI
National Provider Identifier
1689151599
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
52Z256 Issued in WI
Legal business name
OCONTO HOSPITAL & MEDICAL CENTER INC
Doing business as
Emplify Health Oconto Hospital
Practice address
820 Arbutus Ave
Oconto, WI 54153-2004
Phone
(920) 835-1100
Fax
(920) 835-1099
NPI assigned
Jul 24, 2018
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Abby Julia Engebose
Title
Credentialing Specialist
Phone
(920) 433-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 52Z256 WI Primary

Addresses

Primary practice location

820 Arbutus Ave
Oconto, WI 54153-2004

Mailing address

PO Box 1866
Green Bay, WI 54305-1866
Phone (920) 445-7210

Other names 2

  • Emplify Health Oconto Hospital Doing business as
  • Swing Bed Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090818000530 WI Part A Provider - Critical Access Hospital 2163461781 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Oconto, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689151599. Details of each certification follow.

Hospital certification: CCN 52Z356

Legal name
OCONTO HOSPITAL & MEDICAL CENTER INC
Doing business as
EMPLIFY HEALTH OCONTO HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Dec 14, 2005 in WI
Enrollment address
820 Arbutus Ave
Oconto, WI 54153-2004
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oconto Hospital Medical Ce13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Landrum Individual Corporate Director Jan 1, 2025
Scott Rathgaber Individual Corporate Officer Jan 1, 2025
Debra Van Pay Individual Corporate DirectorDirector May 1, 2026
W-2 Managing EmployeeDirector May 1, 2026
Sharla Baenen Individual Corporate Officer Oct 1, 2022
Sara L Arndt Individual Corporate Director Sep 21, 2010
W-2 Managing EmployeeTeam Leader Accounting Oct 1, 2022
Bellin Gundersen Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2022
Bellin Health Systems, Inc. Organization, Green Bay, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 18, 2011
Heather Schimmers Individual Corporate Director May 1, 2026
Laura a Hieb Individual Corporate Director Mar 22, 2016
Peter Vandenhouten Individual Corporate Director Jan 1, 2025
Bellin Memorial Hospital Inc Organization, Green Bay, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Emplify Health Oconto ClinicOconto, WI, CCN 528554 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Emplify Health Peshtigo ClinicPeshtigo, WI, CCN 528580 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Crivitz ClinicCrivitz, WI, CCN 528579 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Menominee ClinicMenominee, MI, CCN 238705 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Daggett ClinicDaggett, MI, CCN 238704 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Marinette ClinicMarinette, WI, CCN 528578 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2016
Emplify Health Oconto Falls ClinicOconto Falls, WI, CCN 528617 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Emplify Health Lakewood ClinicLakewood, WI, CCN 528630 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Emplify Health Suring ClinicSuring, WI, CCN 528631 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 19, 2022

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 51

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 51

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1689151599",
    "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": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ARBUTUS AVE",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541532004",
            "telephone_number": "920-835-1100",
            "fax_number": "920-835-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONTO HOSPITAL & MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "ENGEBOSE",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-433-7860"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WI",
            "license": "52Z256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emplify Health Oconto Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oconto, WI

Sources for this page

Verify at the official NPI Registry.