| St. Vincent Hospital-libertas Of Gillett | |
|
340 N Green Bay Ave Gillett WI 54124-9325 | |
| (920) 855-2823 | |
| Not Available |
| Full Name | St. Vincent Hospital-libertas Of Gillett |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 340 N Green Bay Ave, Gillett, Wisconsin |
| Authorized Official Name and Position | Brian Charlier (PRESIDENT/CEO) |
| Authorized Official Contact | 9206761148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Hospital-libertas Of Gillett Po Box 13508 Green Bay WI 54307-3508 Ph: (920) 433-8044 | St. Vincent Hospital-libertas Of Gillett 340 N Green Bay Ave Gillett WI 54124-9325 Ph: (920) 855-2823 |
| NPI Number | 1972166981 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972166981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Wakoda Trails Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7425 Red Banks Rd, Gillett, WI 54124 Phone: 920-590-1397 | |
Cooperative Educational Service Agency No 8 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 W Park Street, Gillett, WI 54124 Phone: 920-855-2114 Fax: 920-855-2299 |