Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Clare Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1134250905

St Clare Memorial Hospital, Inc is a Family Medicine Physician in Gillett, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 N Green Bay Ave
Gillett, WI 54124-9325
Phone: (920) 855-2823
Fax: (920) 855-6343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X · Licence 38713-020 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1134250905
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Clare Memorial Hospital, Inc
Authorized official Travis Pitzen — Market Director-Finance Operations · (920) 431-3047
Other names St Clare Memorial Hospital Gillett Health Center; St Clare Memorial Hospital Gillett Health Center
NPI enumeratedMarch 7, 2007
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address855 S Main St, Oconto Falls, WI 54154-1241

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