ST VINCENT HOSPITAL RENAL DIALYSIS
NPI 1629051990
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Green Bay, WI

Q: What is St Vincent Hospital-Hospital Sisters-Third Order Of St Francis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since November 21, 2005

1920 LIBAL ST, GREEN BAY, WI 54301(920) 433-8287(920) 433-8765 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2021, Mar 20, 2017 (2 updates tracked since 2017).

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About St Vincent Hospital Renal Dialysis NPPES

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

ST VINCENT HOSPITAL RENAL DIALYSIS (NPI 1629051990) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Green Bay, Wisconsin and active in the NPI registry since November 2005. The organization lists Joanne Horvath, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629051990

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Location Address1920 LIBAL STGreen Bay, WI 54301-2471

Mailing AddressPo Box 13508Green Bay, WI 54307-3508 · (920) 433-8287 · Fax (920) 433-8765

Phone(920) 433-8287

Fax(920) 433-8765

Organization SubpartYes

Authorized OfficialJoanne HorvathCfo · (920) 431-3211

Enumeration DateNovember 21, 2005

Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration

NPPES CertifiedDecember 23, 2021

✔ NPI 1629051990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

1920 LIBAL ST, Green Bay, WI 54301

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Other Names 1

Doing Business AsSt Vincent Hospital Renal Dialysis

Other Identifiers 1

Medicaid42064500WI

Other Providers at the Same Location NPPES 9

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

TONY JAMES BUSSE PT

Physical Therapist

1920 LIBAL ST
GREEN BAY, WI 54301

Brown County (920) 433-0111

KRISTINE A KLONOWSKI MS, CCC/SLP

Speech-Language Pathologist

1920 LIBAL ST
GREEN BAY, WI 54301

Brown County (920) 433-0111

JENNY LYNN ZEITLER PTA

Physical Therapy Assistant

1920 LIBAL ST
GREEN BAY, WI 54301

Brown County (920) 433-0111

TAYLOR RAE ROTHERHAM-DECREMER NP

Nurse Practitioner

1920 LIBAL ST
GREEN BAY, WI 54301

Brown County (920) 436-8691

MS. KELLY SAROSIEK DNP, APNP, FNP-BC

Nurse Practitioner (Family)

1920 LIBAL ST
GREEN BAY, WI 54301

Brown County (800) 528-7883

BARBARA ANN WALLA OMERNIK RN

Registered Nurse (School)

1920 LIBAL ST
ALLOUEZ, WI 54301

Brown County (920) 445-7373

LINDSEY SHEA CONARD OT

Occupational Therapist

1920 LIBAL ST
GREEN BAY, WI 54301

Brown County (920) 432-5434

BELLIN MEMORIAL HOSPITAL INC

Home Health

1920 LIBAL ST
GREEN BAY, WI 54301

Brown County (920) 432-5434

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 St Vincent Hospital-Hospital Sisters-Third Order Of St Francis's NPI number?

The NPI number for St Vincent Hospital-Hospital Sisters-Third Order Of St Francis is 1629051990. It was assigned to this organization in the NPPES registry on November 21, 2005. The provider is doing business as St Vincent Hospital Renal Dialysis.

Where is St Vincent Hospital-Hospital Sisters-Third Order Of St Francis located?

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis is located at 1920 Libal St, Green Bay, WI 54301. The listed phone number is (920) 433-8287.

What is St Vincent Hospital-Hospital Sisters-Third Order Of St Francis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for St Vincent Hospital-Hospital Sisters-Third Order Of St Francis was last updated on December 23, 2021. 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.