OCONTO HOSPITAL & MEDICAL CENTER INC
NPI 1356373302
General Acute Care Hospital - Critical Access in Oconto, WI
NPI Status: Active since July 07, 2006
Contact Information
820 ARBUTUS AVE
OCONTO, WI
ZIP 54153
Phone: (920) 835-1100
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- General Acute Care Hospital
- Critical Access
- Accepts Insurance
About OCONTO HOSPITAL & MEDICAL CENTER INC
Oconto Hospital & Medical Center Inc is a hospital serving the Oconto, Wisconsin region. The facility is a general acute care hospital. The NPI number of this hospital is 1356373302 assigned on July 2006. The hospital's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated June 2026. The provider's
- NPI
- 1356373302
- Provider Legal Name
- OCONTO HOSPITAL & MEDICAL CENTER INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 820 ARBUTUS AVE OCONTO, WI 54153
- Location Phone
- (920) 835-1100
- Mailing Address
- 820 ARBUTUS AVE OCONTO, WI 54153
- Mailing Phone
- (920) 835-1100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 06-05-2026
- Code Navigator
According to the Hospital Compare program data, Oconto Hospital & Medical Center Inc doesn't have an overall quality rating because there are too few measures or measure groups reported to calculate a star rating or measure group score. The hospital provides emergency services like acute medical care or trauma care.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 275N00000X | Hospital Units | Medicare Defined Swing Bed Unit | |
| 2 | 282N00000X | Hospitals | General Acute Care Hospital | |
| 3 | 291U00000X | Laboratories | Clinical Medical Laboratory | 52D1040142 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 10000 - HMO
- HMO Bronze 7500 - HMO
- HMO Catastrophic 10600 with 3 free PCP visits - HMO
- HMO Gold 2000 - HMO
- HMO Gold 2700 - HMO
- HMO HDHP Silver 5900 - HMO
- HMO Silver 6000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
- CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
- CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold $3300 - EPO
- CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
- NE WI Select $3,150 Plus Silver - PPO
- NE WI Select $3,800 HSA Silver - PPO
- NE WI Select $6,000 Standard Silver - PPO
- NE WI Select $6,800 Plus Bronze HSA - PPO
- NE WI Select $7,500 Standard Bronze HSA - PPO
- NE WI Select $8,400 HSA Bronze - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11024610 | MEDICAID (05) | WI | |
| 309 | OTHER (01) | WI | LICENSE |
Hospital Compare Quality Information
Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.
-
Overall Quality Rating Not Available - There are too few measures or measure groups reported to calculate a star rating or measure group score.
The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
-
Hospital Type Critical Access Hospitals - Voluntary non-profit - Private
-
Emergency Services: Yes
Shows if the hospital provides emergency services like acute medical care or trauma care.
-
Meaningful Use of Electronic Health Records: Y
Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).
Hospital Complications and Mortality Quality Ratings
Rate of complications for hip/knee replacement patients is number of cases too small
Evaluation Period: July 2020 - March 2023
Death rate for heart attack patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Death rate for COPD patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Death rate for heart failure patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Death rate for pneumonia patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Unplanned Hospital Visits Quality Ratings
Hospital return days for heart attack patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Hospital return days for heart failure patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Hospital return days for pneumonia patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Rate of inpatient admissions for patients receiving outpatient chemotherapy is number of cases too small
Evaluation Period: January 2022 - December 2022
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is number of cases too small
Evaluation Period: January 2022 - December 2022
Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected
Evaluation Period: January 2022 - December 2022
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is number of cases too small
Evaluation Period: July 2020 - June 2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is number of cases too small
Evaluation Period: July 2020 - June 2023
Heart failure (HF) 30-Day Readmission Rate is number of cases too small
Evaluation Period: July 2020 - June 2023
Rate of readmission after hip/knee replacement is number of cases too small
Evaluation Period: July 2020 - June 2023
Rate of readmission after discharge from hospital (hospital-wide) is number of cases too small
Evaluation Period: July 2022 - June 2023
Pneumonia (PN) 30-Day Readmission Rate is number of cases too small
Evaluation Period: July 2020 - June 2023
Hospital Maternal Health Quality Ratings
Maternal Morbidity Structural Measure: Not Applicable (our hospital does not provide inpatient labor/delivery care)
Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
Evaluation Period: January 2023 - December 2023
Hospital Timely and Effective Care Quality Ratings
Emergency department volume is low
Evaluation Period: January 2022 - December 2022
Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is 58
Evaluation Period: January 2023 - December 2023
Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available
Evaluation Period: January 2023 - December 2023
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is not available%
Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
Evaluation Period: October 2023 - December 2023Hospital Harm - Severe Hypoglycemia is not available
Evaluation Period: January 2023 - December 2023
Hospital Harm - Severe Hyperglycemia is 12
Evaluation Period: January 2023 - December 2023
Healthcare workers given influenza vaccination is 71%
Percentage of healthcare workers given influenza vaccination.
Evaluation Period: October 2023 - March 2024Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 96 minutes
Average time patients spent in the emergency department before leaving from the visit.
Evaluation Period: January 2023 - December 2023Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 142 minutes
Average time patients spent in the emergency department before being sent home.
Evaluation Period: January 2023 - December 2023Left before being seen is 0 %
Percentage of patients who left the emergency department before being seen.
Evaluation Period: January 2022 - December 2022Head CT results is not available %
Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
Evaluation Period: January 2023 - December 2023Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 96 %
Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
Evaluation Period: January 2022 - December 2022Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %
Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
Evaluation Period: January 2022 - December 2022ST-Segment Elevation Myocardial Infarction (STEMI) is not available
Evaluation Period: January 2023 - December 2023
Safe Use of Opioids - Concurrent Prescribing is 12
Evaluation Period: January 2023 - December 2023
Appropriate care for severe sepsis and septic shock is not available %
Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
Evaluation Period: January 2023 - December 2023Septic Shock 3-Hour Bundle is not available %
Septic Shock 3 Hour.
Evaluation Period: January 2023 - December 2023Septic Shock 6-Hour Bundle is not available %
Severe Sepsis 6 Hour.
Evaluation Period: January 2023 - December 2023Severe Sepsis 3-Hour Bundle is not available
Evaluation Period: January 2023 - December 2023
Severe Sepsis 6-Hour Bundle is not available %
Septic Shock 6 Hour.
Evaluation Period: January 2023 - December 2023Discharged on Antithrombotic Therapy is not available
Evaluation Period: January 2023 - December 2023
Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available
Evaluation Period: January 2023 - December 2023
Antithrombotic Therapy by End of Hospital Day 2 is not available
Evaluation Period: January 2023 - December 2023
Discharged on Statin Medication is not available
Evaluation Period: January 2023 - December 2023
Venous Thromboembolism Prophylaxis is 79
Evaluation Period: January 2023 - December 2023
Intensive Care Unit Venous Thromboembolism Prophylaxis is not available
Evaluation Period: January 2023 - December 2023
Reviews for OCONTO HOSPITAL & MEDICAL CENTER INC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356373302, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
OCONTO, WI 54153
OCONTO, WI 54153
OCONTO, WI 54153
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356373302, enumerated as an "organization" on July 07, 2006.
The provider is located at 820 ARBUTUS AVE OCONTO, WI 54153 and the phone number is (920) 835-1100.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.
