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St Clare Memorial Hospital, Inc
Physician Assistant in Lena, Wisconsin
NPI 1346371358

St Clare Memorial Hospital, Inc is a Physician Assistant based in Oconto Falls, WI. St Clare Memorial Hospital, Inc practices in Lena, WI. The NPI Number for St Clare Memorial Hospital, Inc is 1346371358 and holds a License No. 38208-020 (Wisconsin).

The current practice location address for St Clare Memorial Hospital, Inc is 200 S. Rosera Street, Lena, WI and can be reached out via phone at 920-829-6400 and via fax at 920-829-6403.

Location: 200 S. Rosera Street, Lena, WI, 54154-1241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346371358
Provider Name
St Clare Memorial Hospital, Inc
Credential
Provider Entity Type
Organization
Address
200 S. Rosera Street, Lena, WI, 54154-1241
Phone Number
920-829-6400
Fax Number
920-829-6403
Provider Enumeration Date
03/08/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11014110 05 WI
3987482411009 01 WI RICHLEN BC
294946191003 01 WI CUPINO BC
1851477913 01 CMH NPI
41969700 05 WI
32392300 05 WI
institution
Provider Business Practice Location Address Details
Address
200 S. Rosera Street
City
Lena
State
Wisconsin
Zip
54139
Phone Number
920-829-6400
Fax Number
920-829-6403
person
Provider Business Mailing Address Details
Address
200 S. Rosera Street
City
Lena
State
Wisconsin
Zip
54139
Phone Number
920-829-6400
Fax Number
920-829-6403
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
1428-023 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
38208-020 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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