St. Vincent Hospital-Hospital Sisters-Third Order of St Francis
Organization Active NPI Clinical Medical Laboratory · Green Bay, WI
NPI 1972829554 · NPPES record last updated Dec 23, 2021
Key facts
- NPI
- 1972829554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- 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) 496-4700
- Fax
- (920) 405-1402
- NPI assigned
- Apr 8, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Authorized official
- Name
- Kelly Gigot
- Title
- Asst Admin/Chief Financial Officer
- Phone
- (920) 496-4700
Owned or controlled facilities with NPI records 10
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 33
Practitioners 593
-
Kamal Kant Singh Abbi, M.D.
-
Samantha L Abts, DPT
-
Humera Fatima Ahmad, M.D.
-
Osaid K Ahmad, MD
-
Zaheer Akhtar, DO
-
Syed Taimur Ali, M.D.
-
Adebisi O Alimi, M.D.
-
Lucas Scott Altman, FNP
-
Richard Amankwah, MD
-
Lisa M Ambrosius, AUD CCCASLP
-
Jacob Anason, DPT
-
Jill Anderson, PT
-
Sara Lynn Anderson, M.D.
-
Lindsey Angst, OTR
-
Keisha Lynn Apps, APRN
-
Maxwell James Armstrong, PT, DPT
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2017862 | Prevea Health- MFM | Certificate of waiver | Dec 19, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Door County Medical Center |
Hospital | Operational/Managerial Control (40%) | Nov 1, 2016 |
| Door County Medical Center Swing Bed |
Hospital | Operational/Managerial Control (40%) | Nov 1, 2016 |
| Pete and Jelaine Horton Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 28, 2016 Feb 14, 2025 |
| Unity |
Hospice | 5% Or Greater Direct Ownership Interest (45%) Limited Partnership Interest (45%) Operational/Managerial Control (45%) |
Oct 1, 1992 Oct 1, 1992 Oct 1, 1992 |
| Door County Medical Center Sturgeon Bay |
Rural health clinic | Operational/Managerial Control (40%) | Nov 1, 2016 |
| Door County Medical Center Sister Bay |
Rural health clinic | Operational/Managerial Control (40%) | Nov 1, 2016 |
| Door County Medical Center Algoma |
Rural health clinic | Operational/Managerial Control (40%) | Nov 1, 2016 |
| Door County Medical Center Washington Island |
Rural health clinic | Operational/Managerial Control (40%) | Nov 1, 2016 |
| Directcare |
Rural health clinic | Operational/Managerial Control (40%) | Nov 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101029000579 | WI | Part B Supplier - Independent Clinical Laboratory | 5799694675 | Practice locations: Green Bay, WI |
National Provider Directory
- Tax ID family
- St Vincent Hospital-Hospita
- Part of
- St Vincent Hospital-Hospita
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | WI | Yes |
Addresses
Primary practice location
835 S Van Buren St
Green Bay, WI 54301-3526
Mailing address
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52D0689713 | Other | WI | CLIA |
Other names
- Prevea Health
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prevea_transitions_of_care2201213@ewd.direct.hshs.org | Direct |
Other providers in Green Bay, WI
- John J St. Andre
- St. Clare Memorial Hospital, Inc.
- St. Mary'S Hospital
- St. Mary'S Hospital Medical Center of Green Bay Inc.-Hospital Sisters
- St. Vincent Hospital of the Hospital Sisters-Third Order of St. Franci
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis
- St.Vincent Hospital of the Hospital Sisters of the Third Order of St. Francis
- Grace K Stabenau
- Diane Mary Stadler
All providers in Green Bay, WI · Clinical Medical Laboratory in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.