DOOR COUNTY MEDICAL CENTER SISTER BAY
NPI 1508198961
Clinic/Center - Rural Health in Sister Bay, WI

Active since February 09, 2010CLIA 52D0991397 · Waiver
2345 CANTERBURY LANE, SISTER BAY, WI 54234(920) 868-3511 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Apr 6, 2022, Mar 15, 2019 (3 updates tracked since 2019).

About Door County Medical Center Sister Bay NPPES

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

DOOR COUNTY MEDICAL CENTER SISTER BAY (NPI 1508198961) is a healthcare organization registered as a rural health in Sister Bay, Wisconsin and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Andrew S Laluzerne, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508198961
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDOOR COUNTY MEMORIAL HOSPITAL
Location Address2345 CANTERBURY LANESister Bay, WI 54234
Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 743-5566
Organization SubpartNo
Authorized OfficialAndrew S LaluzerneCfo · (920) 746-3729
Enumeration DateFebruary 9, 2010
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
NPI 1508198961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2345 CANTERBURY LANE, Sister Bay, WI 54234

Other Names 1

Doing Business AsDoor County Medical Center Sister Bay

Accepted 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 52D0991397

Door County Medical Center- Sister Bay · Sister Bay, WI
Active · expires Dec 9, 2027
CLIA Number52D0991397
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorDr. Joshua J. Rebhan
Laboratory Phone(920) 868-3511
Laboratory LocationDoor County Medical Center- Sister Bay2345 Canterbury Lane, Sister Bay, WI 54234
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

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

Pharmacy (Community/Retail Pharmacy)
2345 CANTERBURY LANE
SISTER BAY, WI 54234

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 1508198961. It was assigned to this organization in the NPPES registry on February 9, 2010. The provider is doing business as Door County Medical Center Sister Bay.

Where is Door County Memorial Hospital located?

Door County Memorial Hospital is located at 2345 Canterbury Lane, Sister Bay, WI 54234. The listed phone number is (920) 868-3511.

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 52D0991397) is associated with this NPI, valid through December 9, 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 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.