Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

Key facts

NPI

1750445540

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

License

1055 (WI)

Legal business name

LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN

Practice address

112 E 5TH Ave
Antigo, WI 54409-2710

Phone

(715) 623-2331

NPI assigned

Dec 19, 2006

Organization subpart

No

Authorized official

Name

Jerry M Yang

Title

SVP & Chief Financial Officer

Phone

(715) 847-2526

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Aspirus Vna Home Health, Inc. Home Health Agency · Hancock, MI · NPI 1578798401
  NPD member Member Of

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2024.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1750445540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29980 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "715-847-2304",
            "fax_number": "715-873-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092710",
            "telephone_number": "715-623-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2526"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antigo, WI

• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin
• Langlade Memorial Hospital
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All providers in Antigo, WI · Durable Medical Equipment & Medical Supplies in Wisconsin