St. Joseph'S Hospital

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

ST. JOSEPH'S HOSPITAL

Practice address

1009 Egg Harbor Rd Ste 102
Sturgeon Bay, WI 54235-1266

Phone

(920) 498-8600

NPI assigned

Dec 26, 2007

Organization subpart

Yes

Parent organization

ST. JOSEPHS HOSPITALAs reported in NPPES

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

Authorized official

Name

David Fish

Title

Administrator

Phone

(715) 726-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Libertas Doing business as

Part of

St Joes 3Rd Ordr St Francis

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1770767808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295407",
            "telephone_number": "715-723-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 EGG HARBOR RD STE 102",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351266",
            "telephone_number": "920-498-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPHS HOSPITAL",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-726-3200"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42244200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Libertas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Sowl, RDN, CD
• Specialized Services, LLC
• Michael R. St Jean, M.D.
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis
• St. Clare Memorial Hospital, Inc
• St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis
• Staudenmaier Chiropractic Wellness Center, S.C.
• Luke Eric Staudenmaier, D.C.
• Bonnie Marie Stewart, OTR
• Elizabeth R Stubenvoll, PHARMD

• Special Hospital in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Special Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.