ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS
NPI 1659636108
Durable Medical Equipment & Medical Supplies in Plymouth, WI

NPI Status: Active since July 11, 2012

Contact Information

825 WALTON DR
PLYMOUTH, WI
ZIP 53073
Phone: (920) 892-4322

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 52D2190573
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 08-16-2026

About ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS

This page provides the complete NPI Profile along with additional information for St Nicholas Hospital-sisters Of Third Order Of St Francis, a provider established in Plymouth, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1659636108 assigned on July 2012. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is John Wagner (Market Coo)

NPI
1659636108
Provider Legal Name
ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
825 WALTON DR PLYMOUTH, WI 53073
Location Phone
(920) 892-4322
Mailing Address
PO BOX 19070 GREEN BAY, WI 54307
Mailing Phone
(920) 496-4700
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-11-2012
Last Update Date
02-12-2026
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN WAGNER

Authorized Official Title
MARKET COO
Authorized Official Phone
(920) 496-4700

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
52D2190573
Facility Type
School/Student Health Service
Certificate Effective Date
August 17, 2024
Certificate Expiration Date
August 16, 2026
Laboratory Director
DR. EUGENI T. KOUZOV
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Nicholas Hospital-sisters Of Third Order Of St Francis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1659636108, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 2 + 3 + 1 + 2 + 1 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1659636108.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Chiropractor
825 WALTON DR
PLYMOUTH, WI 53073
Chiropractor
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner
825 WALTON DR
PLYMOUTH, WI 53073
Occupational Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner (Primary Care)
825 WALTON DR
PLYMOUTH, WI 53073
Physical Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner (Family)
825 WALTON DR
PLYMOUTH, WI 53073
Family Medicine
825 WALTON DR
PLYMOUTH, WI 53073
Physical Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Health and Wellness Coach
825 WALTON DR
PLYMOUTH, WI 53073
Physical Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Physical Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Physical Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner (Family)
825 WALTON DR
PLYMOUTH, WI 53073
Family Medicine
825 WALTON DR
PLYMOUTH, WI 53073
Physician Assistant
825 WALTON DR
PLYMOUTH, WI 53073
Social Worker (Clinical)
825 WALTON DR
PLYMOUTH, WI 53073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659636108, enumerated as an "organization" on July 11, 2012.

The provider is located at 825 WALTON DR PLYMOUTH, WI 53073 and the phone number is (920) 892-4322.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.