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 1568552958

St Clare Memorial Hospital, Inc is a Family Medicine Physician in Mountain, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
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

14353 Hwy 32/64
Mountain, WI 54149
Phone: (715) 276-1600
Fax: (715) 276-1800
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 23967-020 (WI)

Record details

NPI number1568552958
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 Mountain Health Center; St Clare Memorial Hospital Mountain Health Center
NPI enumeratedOctober 13, 2006
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address855 S Main St, Oconto Falls, WI 54154-1241

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