St Nicholas Hospital-Sisters of Third Order of St Francis

NPI #1659636108 in Plymouth, Wisconsin

Provider Information

NPI Number: 1659636108
Entity Type: Organization
Organization Name: St Nicholas Hospital-Sisters of Third Order of St Francis
Subpart: Yes (part of a larger organization)
Parent Organization: ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jul 11, 2012
Last Updated: Jan 12, 2022

Practice Location

Address: 825 WALTON DR
City: Plymouth
State: Wisconsin
ZIP Code: 53073-5022
Phone: (920) 892-4322

Authorized Official

Name: JUSTIN SELLE
Title: PRESIDENT & CEO
Phone: (920) 496-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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