ST CLARE MEMORIAL HOSPITAL, INC
NPI 1750412292
Clinic/Center - Rural Health in Suring, WI

NPI Status: Active since March 08, 2007

Contact Information

913 EAST MAIN STREET
SURING, WI
ZIP 54174
Phone: (920) 842-1147
Fax: (920) 842-1160

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 52D1061920
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-31-2027

About ST CLARE MEMORIAL HOSPITAL, INC

This page provides the complete NPI Profile along with additional information for St Clare Memorial Hospital, Inc, a primary care provider established in Suring, Wisconsin operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1750412292 assigned on March 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Travis Pitzen (Market Director-finance Operations)

NPI
1750412292
Provider Legal Name
ST CLARE MEMORIAL HOSPITAL, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
913 EAST MAIN STREET SURING, WI 54174
Location Phone
(920) 842-1147
Location Fax
(920) 842-1160
Mailing Address
855 S MAIN ST OCONTO FALLS, WI 54154
Mailing Phone
(920) 846-3444
Mailing Fax
(920) 842-1160
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-08-2007
Last Update Date
02-12-2026
Code Navigator

A primary care provider (PCP) like St Clare Memorial Hospital, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

54392-030 (WI)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Select $2,000 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,000 - 50% - EPO
  • Select $5,000 HDHP - EPO
  • Select $6,000 - 40% - EPO
  • Select $7,500 - EPO
  • Select $7,500 HDHP - EPO
  • Select $9,500 - EPO
  • Select Protection - EPO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO

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.

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

TRAVIS PITZEN

Authorized Official Title
MARKET DIRECTOR-FINANCE OPERATIONS
Authorized Official Phone
(920) 431-3047

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
1851477913OTHER (01)CMH NPI
1003898867OTHER (01)WIZAHN NPI
32843600MEDICAID (05)WI 
11014110MEDICAID (05)WI 

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
52D1061920
Facility Type
Physician Office
Certificate Effective Date
August 01, 2025
Certificate Expiration Date
July 31, 2027
Laboratory Director
MS. ERIN BANCROFT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Clare Memorial Hospital, Inc 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.

Reviews for ST CLARE MEMORIAL HOSPITAL, INC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1750412292, 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 4 → 8 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 8 + 1 + 4 + 2 + 1 + 8 + 24 = 58

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.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1750412292.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750412292, enumerated as an "organization" on March 08, 2007.

The provider is located at 913 EAST MAIN STREET SURING, WI 54174 and the phone number is (920) 842-1147.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Security Health. Please consult your insurance carrier or call the provider to verify.