St Vincent Hospital-Hospital Sisters-Third Order of St Francis

NPI #1063075018 in Shawano, Wisconsin

Provider Information

NPI Number: 1063075018
Entity Type: Organization
Organization Name: St Vincent Hospital-Hospital Sisters-Third Order of St Francis
Subpart: Yes (part of a larger organization)
Parent Organization: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 16, 2019
Last Updated: Dec 23, 2021

Practice Location

Address: 1300 E GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2210
Phone: (715) 201-0870

Authorized Official

Name: BRIAN CHARLIER
Title: PRESIDENT/CEO
Phone: (920) 676-1148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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