Active NPI
St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- Clinical Medical Laboratory
- Green Bay, WI
National Provider Identifier
1740470616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
- Practice address
- 835 S Van Buren St
Green Bay, WI 54301-3526 - Phone
- (920) 433-0111
- Fax
- (920) 433-8765
- NPI assigned
- Jul 27, 2007
- Organization subpart
- Yes
- Parent organization
- ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Travis Pitzen
- Title
- Market Director-Finance Operations
- Phone
- (920) 431-3047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
835 S Van Buren St
Green Bay, WI 54301-3526
Mailing address
PO Box 13508
Green Bay, WI 54307-3508
Phone (920) 433-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32942700 | Medicaid | WI |
Other names 1
- St Vincent Hospital Outpatient Lab
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stvincent_stmary_stnicholas_stclare@ewd.direct.hshs.org | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- St Vincent Hospital-Hospita
- Part of
- St Vincent Hospital-Hospita
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1740470616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13508",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543073508",
"telephone_number": "920-433-0111",
"fax_number": "920-433-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S VAN BUREN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013526",
"telephone_number": "920-433-0111",
"fax_number": "920-433-8765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
"enumeration_date": "2007-07-27",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "PITZEN",
"authorized_official_first_name": "TRAVIS",
"authorized_official_title_or_position": "MARKET DIRECTOR-FINANCE OPERATIONS",
"authorized_official_telephone_number": "920-431-3047"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32942700",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stvincent_stmary_stnicholas_stclare@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "835 S Van Buren St",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543013526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "St Vincent Hospital Outpatient Lab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St Vincent Hospital Outpatient Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green Bay, WI
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- John J St. Andre, CCP
- St. Clare Memorial Hospital, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.