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ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS NPI 1659636108


NPI Information

NPI: 1659636108
Provider Name: ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS

Other Name: PREVEA HEALTH-PLYMOUTH DME SUPPLIER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 52D2190573

Address:
825 WALTON DR
PLYMOUTH, WI
ZIP 53073
Phone: (920) 892-4322
Get Directions

ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS is a durable medical equipment medical supplies in Plymouth, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS NPI is 1659636108. The provider is registered as an organization entity type.
The provider Other Name Is Prevea Health-plymouth Dme Supplier.

The provider's business location address is:

825 WALTON DR
PLYMOUTH, WI
ZIP 53073-022
Phone: (920) 892-4322

The provider's authorized official is Justin Selle .
The authorized official title is President & Ceo and has the following contact phone number (920) 496-4700.

The CLIA number assigned to this NPI record is 52D2190573 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 1/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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