NPIMap

Organization Active NPI

Holy Family Memorial Inc

Doing business as Froedtert Holy Family Memorial Hospital

  • General Acute Care Hospital
  • Manitowoc, WI
National Provider Identifier
1700998697
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOLY FAMILY MEMORIAL INC
Doing business as
Froedtert Holy Family Memorial Hospital
Practice address
2300 Western Ave
Manitowoc, WI 54220-3712
Phone
(920) 320-2011
Fax
(920) 320-3500
NPI assigned
Aug 31, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Brian Graf
Title
Vice President
Phone
(920) 320-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

2300 Western Ave
Manitowoc, WI 54220-3712

Mailing address

N74W12501 Leatherwood CT Ste 103
Menomonee Falls, WI 53051-4490

Other practice location 1

1650 South 41st Street
Manitowoc, WI 54220-7316
Phone (920) 320-2436

Other practice location 2

800 Lakefront Way
Two Rivers, WI 54241-3301
Phone (920) 320-2011

Other names 1

  • Froedtert Holy Family Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080103000728 WI Part A Provider - Hospital 0648183160 Practice locations: Manitowoc, WI; Two Rivers, WI
O20250206001311 WI Part B Supplier - Intensive Cardiac Rehabilitation 0648183160 Practice locations: Manitowoc, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700998697. Details of each certification follow.

Hospital certification: CCN 520107

Legal name
HOLY FAMILY MEMORIAL INC
Doing business as
FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 30, 2003
Beds
167
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 1920 in WI
Enrollment address
2300 Western Ave
Manitowoc, WI 54220-3712
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Holy Family MemorialCCN 520107 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0394732Holy Family Memorial1650 S 41St St, Manitowoc, WI 54220AccreditationMay 19, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1635 S 21st St
Manitowoc, WI 54220
Phone (920) 320-2011

1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100

1818 Memorial Dr
Manitowoc, WI 54220
Phone (920) 320-6344

300 E Reed Ave
Manitowoc, WI 54220
Phone (920) 683-9865

339 Reed Ave
Manitowoc, WI 54220
Phone (920) 320-8600

600 York St
Manitowoc, WI 54220
Phone (920) 320-6750

600 York St
Ste 9
Manitowoc, WI 54220
Phone (920) 320-6270

601 Buffalo St
Manitowoc, WI 54220
Phone (920) 686-2333

601 N 8th St
Manitowoc, WI 54220
Phone (920) 682-4646

605 Reed Ave
Manitowoc, WI 54220
Phone (920) 652-1100

915 N Rapids Rd
Manitowoc, WI 54220
Phone (920) 684-8765

960 S Rapids Rd
Manitowoc, WI 54220
Phone (920) 684-1144

1414 N Taylor Dr
Ste 205
Sheboygan, WI 53081
Phone (920) 234-5201

1400 Washington St
Two Rivers, WI 54241
Phone (920) 553-8993

1820 Jefferson St
Two Rivers, WI 54241
Phone (920) 553-5433

3310 45th St
Two Rivers, WI 54241
Phone (920) 793-3900

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Froedtert Thedacare Health, Inc. Organization, Milwaukee, WI Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2021 80%
Matthew R Partridge Individual Corporate OfficerSenior Vice President, Finance Dec 1, 2025
Candice Giesen Individual Corporate Director Mar 27, 2019
Brian J Graf Individual Corporate Director Mar 1, 2025
W-2 Managing EmployeeVice President Mar 1, 2025
Milan Jordan Individual Corporate Director Oct 1, 2024
Dale Gisi Individual Corporate Director Nov 1, 2024
Franciscan Sisters of Christian Charity Sponsored Ministries Inc Organization, Manitowoc, WI Non-profit 5% Or Greater Direct Ownership Interest Oct 30, 1985 20%
HFM Holding LLC Organization, Milwaukee, WI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 4, 2024 80%
Operational/Managerial Control Sep 4, 2024
Holy Family Convent of Franciscan Sisters of Christian Charity Inc Organization, Manitowoc, WI Created for acquisition, Corporation 5% Or Greater Indirect Ownership Interest Oct 30, 1985 20%
William Flett Individual Corporate Director Dec 4, 2024
Nancy Kinate Individual Corporate Director Mar 26, 2018
Buffy Lynn Detterman Individual Corporate Director Dec 3, 2025
Genny Shields Individual Corporate Director Mar 1, 2021
Chuck Krueger Individual Corporate Director Mar 1, 2021

Owners & managing parties with NPI records 1

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

Facilities with the same owner 38

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

View all 38

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

Affiliated clinicians 342

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

View all 342

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1700998697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT STE 103",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203712",
            "telephone_number": "920-320-2011",
            "fax_number": "920-320-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 South 41st Street",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542207316",
            "country_code": "US",
            "telephone_number": "920-320-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Lakefront Way",
            "address_purpose": "LOCATION",
            "city": "Two Rivers",
            "state": "WI",
            "postal_code": "542413301",
            "country_code": "US",
            "telephone_number": "920-320-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLY FAMILY MEMORIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "920-320-3451"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert Holy Family Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.