National Provider Identifier Database

ST CLARE MEMORIAL HOSPITAL INC
Rural Health


Contact Information

ST CLARE MEMORIAL HOSPITAL, INC
14353 HWY 32/64
MOUNTAIN, WI54149
Phone: 715-276-1600
Fax: 715-276-1800
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for ST CLARE MEMORIAL HOSPITAL, INC

NPI Number 1568552958
Legal business name
LBN
ST CLARE MEMORIAL HOSPITAL, INC
Authorized official TRAVIS PITZEN - (MARKET DIRECTOR-FINANCE OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 10/13/2006
Last updated 02/12/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 23967-020
  • WI Medicaid: 11014110
  • Other: 1851477913 CMH NPI
  • WI Other: 1689677213 BOLLENBACH NPI
  • WI Other: 1316940927 GREMBAN NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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