NPIMap

Organization Active NPI

St Clare Memorial Hospital, Inc

Doing business as St Clare Memorial Hospital Suring Health Center

  • Rural Health Clinic/Center
  • Suring, WI
National Provider Identifier
1750412292
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST CLARE MEMORIAL HOSPITAL, INC
Doing business as
St Clare Memorial Hospital Suring Health Center
Practice address
913 East Main Street
Suring, WI 54174
Phone
(920) 842-1147
Fax
(920) 842-1160
NPI assigned
Mar 8, 2007
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST CLARE MEMORIAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Nurse Practitioner 363L00000X 54392-030 WI

Addresses

Primary practice location

913 East Main Street
Suring, WI 54174

Mailing address

855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-3444

Other identifiers 4

IdentifierTypeStateIssuer
11014110MedicaidWI
32843600MedicaidWI
1003898867OtherWIZAHN NPI
1851477913OtherCMH NPI

Other names 1

  • St Clare Memorial Hospital Suring Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000659 WI Part A Provider - Rural Health Clinic 0446211395 Practice locations: Suring, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750412292. Details of each certification follow.

Rural health clinic certification: CCN 528547

Legal name
ST CLARE MEMORIAL HOSPITAL, INC
Doing business as
HSHS ST. CLARE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 29, 2012
Last certification
Jun 29, 2012
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
913 Main St
Suring, WI 54174-9012
Related CCNs
521310

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

Other NPIs with the same Medicare PAC ID 7

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

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
52D1061920St Clare Memorial Hospital Suring Health Center913 E Main St, Suring, WI 54174Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory
Part of
St Clare Memorial Hospital

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
Hospital Sisters Health System Inc Organization, Springfield, IL Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2014 100%
Michael M Nelessen Individual Corporate DirectorBoard Member Nov 1, 2018
Ginny Oharrow Individual Corporate DirectorBoard Member Nov 1, 2023
Jan Stranz Individual Corporate Director Jul 1, 2010
Cara B Peterson Individual Corporate DirectorBoard Member Nov 1, 2023
Patricia L Allen Individual Corporate OfficerCfo Jan 1, 2020
Corporate DirectorCfo Jan 1, 2020
Lori Dufek Individual Corporate DirectorBoard Member Nov 1, 2021
Hospital Sisters Services Inc Organization, Springfield, IL Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2014 100%
Ron Christensen Individual Corporate DirectorBoard Member Nov 1, 2023
John Wagner Individual Corporate OfficerCoo Oct 15, 2022
Corporate DirectorCoo Oct 15, 2022
Damond Williams Boatwright Individual Corporate OfficerPresident/Ceo Jul 19, 2021
Robert Erickson Individual Corporate OfficerPresident/Ceo Apr 29, 2024
Corporate DirectorPresident/Ceo Apr 29, 2024
Travis Pitzen Individual Corporate DirectorDirector of Finance Sep 30, 2024
W-2 Managing EmployeeDirector of Finance Sep 30, 2024
Stacee Goedtel Birr Individual Corporate DirectorBoard Member Nov 1, 2023

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 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1750412292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MAIN ST",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541241",
            "telephone_number": "920-846-3444",
            "fax_number": "920-846-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 EAST MAIN STREET",
            "city": "SURING",
            "state": "WI",
            "postal_code": "54174",
            "telephone_number": "920-842-1147",
            "fax_number": "920-842-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CLARE MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2007-03-08",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "54392-030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11014110",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32843600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZAHN NPI",
            "identifier": "1003898867",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMH NPI",
            "identifier": "1851477913",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "913 East Main Street",
            "city": "Suring",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Clare Memorial Hospital Suring Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Clare Memorial Hospital Suring Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suring, WI

Sources for this page

Verify at the official NPI Registry.