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DOOR COUNTY MEDICAL CENTER WASHINGTON ISLAND
NPI 1174627483
Clinic/Center - Rural Health in Washington Island, WI

Active since September 08, 2006CLIA 52D0662859 · Waiver
910 MAIN RD, WASHINGTON ISLAND, WI 54246(920) 847-2424 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2022, Mar 15, 2019 (2 updates tracked since 2019).

About Door County Medical Center Washington Island NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOOR COUNTY MEDICAL CENTER WASHINGTON ISLAND (NPI 1174627483) is a healthcare organization registered as a rural health in Washington Island, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Andrew S Laluzerne, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174627483
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDOOR COUNTY MEMORIAL HOSPITAL
Location Address910 MAIN RDWashington Island, WI 54246
Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 743-5566
Phone(920) 847-2424
Organization SubpartNo
Authorized OfficialAndrew S LaluzerneCfo · (920) 746-3729
Enumeration DateSeptember 8, 2006
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1174627483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
910 MAIN RD, Washington Island, WI 54246
Open in Google Maps ↗

Other Names 1

Doing Business AsDoor County Medical Center Washington Island

Other Identifiers 1

Medicaid1174627483WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Security Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0662859

Door County Medical Center-Washington Island Clinic · Washington Island, WI
Active · expires Nov 6, 2027
CLIA Number52D0662859
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorDr. Beth A. Lux
Laboratory Phone(920) 847-2424
Laboratory LocationDoor County Medical Center-Washington Island Clinic910 Main Rd, Washington Island, WI 54246
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROBYN MARIE WEILBAKER CNP
Nurse Practitioner
910 MAIN RD
WASHINGTON ISLAND, WI 54246
Door County (920) 847-2424
DR. BETH A LUX M.D.
Family Medicine
910 MAIN RD
WASHINGTON ISLAND, WI 54246
Door County (920) 847-2424
CAROLINE REITER OD
Optometrist
910 MAIN RD, BOX 220
WASHINGTON ISLAND, WI 54246
Door County (920) 847-3093
DOOR COUNTY MEMORIAL HOSPITAL
Non-Pharmacy Dispensing Site
910 MAIN RD
WASHINGTON ISLAND, WI 54246
Door County (920) 743-5566
BARBARA HEILMAN
Nurse Practitioner (Family)
910 MAIN RD
WASHINGTON ISLAND, WI 54246
Door County (920) 847-2424
NOR-DOOR ISLAND EYECARE INC
Optometrist
910 MAIN RD
WASHINGTON ISLAND, WI 54246
Door County (920) 847-3093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Door County Memorial Hospital's NPI number?

The NPI number for Door County Memorial Hospital is 1174627483. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Door County Medical Center Washington Island.

Where is Door County Memorial Hospital located?

Door County Memorial Hospital is located at 910 Main Rd, Washington Island, WI 54246. The listed phone number is (920) 847-2424.

What is Door County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Door County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0662859) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Door County Memorial Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Security Health Plan list Door County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Door County Memorial Hospital was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.