St Clare Memorial Hospital, Inc.
NPI 1073536967ActiveOrganization· Pharmacy, Institutional Pharmacy· Oconto Falls, WI
Pharmacy, Institutional Pharmacy in Oconto Falls, Wisconsin, registered in NPPES in July 2006, part of St Clare Memorial Hospital, Inc. The authorized official on file is Travis Pitzen, Market Director-Finance Operations. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1073536967 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St Clare Memorial Hospital, Inc. |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Oct 26, 2026 |
| Certified by provider | Oct 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | 5339042 | WI |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (WI) |
|---|