ST. MARY'S HOSPITAL
NPI 1619305703
Clinic/Center - Physical Therapy in Green Bay, WI
NPI Status: Active since October 29, 2013
Contact Information
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 498-4267
- Organization
- Clinic/Center
- Physical Therapy
- Accepts Insurance
- CLIA Number: 52D0395075
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About ST. MARY'S HOSPITAL
This page provides the complete NPI Profile along with additional information for St. Mary's Hospital, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1619305703 assigned on October 2013. The practitioner's primary taxonomy code is 261QP2000X with license number 1193624 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Therese B. Pandl (President And Chief Executive Offic)
- NPI
- 1619305703
- Provider Name
- ST. MARY'S HOSPITAL
- Entity Type
- Organization
- Location Address
- 1726 SHAWANO AVE GREEN BAY, WI 54303
- Location Phone
- (920) 498-4267
- Mailing Address
- 1726 SHAWANO AVE GREEN BAY, WI 54303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-29-2013
- Last Update Date
- 12-22-2021
- Code Navigator
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
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1193624
- License State
- WI
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- POS Bronze 8500 - POS
- POS Silver 6000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0395075
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. PATRICK M. MCDONOUGH
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to St. Mary's Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for ST. MARY'S HOSPITAL
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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 1619305703, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 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.
GREEN BAY, WI 54303
GREEN BAY, WI 54303
GREEN BAY, WI 54303
GREEN BAY, WI 54303
GREEN BAY, WI 54303
GREEN BAY, WI 54303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619305703, enumerated as an "organization" on October 29, 2013.
The provider is located at 1726 SHAWANO AVE GREEN BAY, WI 54303 and the phone number is (920) 498-4267.
Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.
The provider might be accepting Accepts: Aspirus Health Plan. Please consult your insurance carrier or call the provider to verify.
