Organization · Type 2 NPI

Oconto Hospital & Medical Center Inc

Rural Health Clinic/Center · Lakewood, WI

NPI number 1790284438 Active

Practice location

15481 Commercial Rd Ste E
Lakewood, WI 54138-9677

Call (715) 276-9048 Map

Fax (920) 445-7289

Mailing address

PO Box 1866
Green Bay, WI 54305-1866

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1790284438
Entity type: Organization (Type 2)
Issued: Feb 8, 2018
Last updated: Sep 9, 2026
Status: Active
Subpart: Yes of Oconto Hospital & Medical Center Inc

Other names

<unavail>
Bellin Health Lakewood · doing business as
Emplify Health Lakewood Clinic · doing business as

Authorized official

Debra Van Pay
Director, Reimbursement
(920) 436-8628

Verify this record

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 1790284438

Oconto Hospital & Medical Center Inc's National Provider Identifier is 1790284438, issued on Feb 8, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lakewood, WI. The record was last updated on Sep 9, 2026.