Organization · Type 2 NPI

ST Nicholas Hospital-Sisters of Third Order of ST Francis

Durable Medical Equipment & Medical Supplies · Plymouth, WI

NPI number 1659636108 Active

Practice location

825 Walton Dr
Plymouth, WI 53073-5022

Call (920) 892-4322 Map

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: 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.

19 other providers at this address

Other durable medical equipment & medical supplies providers in Plymouth

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NPI record

NPI: 1659636108
Entity type: Organization (Type 2)
Issued: Jul 11, 2012
Last updated: Feb 12, 2026
Status: Active
Subpart: Yes of ST Nicholas Hospital of the Hospital Sisters of ST Francis

Other names

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Prevea Health-Plymouth Dme Supplier · other name
Prevea Health-Plymouth Dme Supplier · other name

Authorized official

John Wagner
Market COO
(920) 496-4700

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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 1659636108

ST Nicholas Hospital-Sisters of Third Order of ST Francis's National Provider Identifier is 1659636108, issued on Jul 11, 2012. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Plymouth, WI. The record was last updated on Feb 12, 2026.