Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Clare Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1134250905

St Clare Memorial Hospital, Inc provides Family Medicine Physician services in Gillett, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 N Green Bay Ave
Gillett, WI 54124-9325
Phone: (920) 855-2823
Fax: (920) 855-6343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X · Licence 38713-020 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1134250905
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Clare Memorial Hospital, Inc
Authorized official Travis Pitzen — Market Director-Finance Operations · (920) 431-3047
Other names St Clare Memorial Hospital Gillett Health Center; St Clare Memorial Hospital Gillett Health Center
NPI enumeratedMarch 7, 2007
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address855 S Main St, Oconto Falls, WI 54154-1241

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