ST CLARE MEMORIAL HOSPITAL, INC; NPI #1568552958

Contact Information

ST CLARE MEMORIAL HOSPITAL, INC

14353 HWY 32/64
MOUNTAIN, WI 54149

Phone: 715-276-1600
Fax: 715-276-1800
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for ST CLARE MEMORIAL HOSPITAL, INC

NPI Number 1568552958

LBN Legal business name ST CLARE MEMORIAL HOSPITAL, INC

Authorized official TRAVIS PITZEN - (MARKET DIRECTOR-FINANCE OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/13/2006

Last updated 02/12/2026 - About 4 months ago

Identifiers

WI	License #	23967-020
WI	Medicaid	11014110
	Other	1851477913	CMH NPI
WI	Other	1689677213	BOLLENBACH NPI
WI	Other	1316940927	GREMBAN NPI

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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