| St Clare Memorial Hospital Suring Health Center | |
|
913 East Main Street Suring WI 54174 | |
| (920) 842-1147 | |
| (920) 842-1160 |
| Full Name | St Clare Memorial Hospital Suring Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 913 East Main Street, Suring, Wisconsin |
| Authorized Official Name and Position | Patricia Allen (CFO) |
| Authorized Official Contact | 9208845660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Clare Memorial Hospital Suring Health Center 855 S Main St Oconto Falls WI 54154-1241 Ph: (920) 846-3444 | St Clare Memorial Hospital Suring Health Center 913 East Main Street Suring WI 54174 Ph: (920) 842-1147 |
| NPI Number | 1750412292 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 0446211395 |
|---|---|
| Medicare Enrollment ID | O20100623000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750412292 | NPI | - | NPPES |
| 1851477913 | Other | CMH NPI | |
| 1003898867 | Other | WI | ZAHN NPI |
| 32843600 | Medicaid | WI | |
| 11014110 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | 54392-030 (Wisconsin) | Secondary |
Bellin Health Suring Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Manor Dr, Suring, WI 54174 Phone: 920-842-2144 Fax: 920-842-4111 | |
Fmc Suring Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Manor Dr, Suring, WI 54174 Phone: 920-842-2144 |