Organization · Type 2 NPI

ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis

Diagnostic Radiology Physician · Green Bay, WI

NPI number 1316692205 Active

Practice location

121 S. Webster Ave.
Green Bay, WI 54301

Call (920) 433-0111 Map

Mailing address

PO Box 27594
Salt Lake City, UT 84127-0594

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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NPI record

NPI: 1316692205
Entity type: Organization (Type 2)
Issued: Feb 18, 2022
Last updated: Feb 18, 2022
Status: Active
Subpart: Yes of ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis

Other names

St. Vincent Imaging & Cardiology Services · doing business as

Authorized official

Patricia Allen
CFO
(920) 884-5660

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316692205

ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis's National Provider Identifier is 1316692205, issued on Feb 18, 2022. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Green Bay, WI. The record was last updated on Feb 18, 2022.