SSM HEALTH CARE OF WISCONSIN INC NPI 1831132802

NPI Information

NPI: 1831132802
Provider Name: SSM HEALTH CARE OF WISCONSIN, INC

Doing Business As: SSM HEALTH ST MARY'S HOSPITAL - MADISON

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
700 S. PARK ST.
MADISON, WI
ZIP 53715
Phone: (608) 251-6100
Get Directions

SSM HEALTH CARE OF WISCONSIN, INC is a durable medical equipment medical supplies in Madison, WI. The provider is 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. SSM HEALTH CARE OF WISCONSIN, INC NPI is 1831132802. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health St Mary's Hospital - Madison.

The provider's business location address is:

700 S. PARK ST.
MADISON, WI
ZIP 53715-830
Phone: (608) 251-6100
Fax: (608) 258-5221

The provider's authorized official is Joseph Minerath .
The authorized official title is System Dir Of Gov Reimbursement and has the following contact phone number (608) 258-6891.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 10/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336I0012X	Pharmacy	Institutional Pharmacy	71	WISCONSIN	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		71	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========002	MEDICAID	ILLINOIS
2	1309280002	MEDICARE NSC	WISCONSIN
3	5283846	OTHER	WISCONSIN	MEDICA PROVIDER NUMBER
4	390806393026	OTHER	WISCONSIN	BLUE CROSS PROVIDER NUMBE
5	33243400	MEDICAID	WISCONSIN
6	A5371501	OTHER	WISCONSIN	JOHN DEERE PROVIDER NUMBE
7	=========009	OTHER	WISCONSIN	TRICARE PROVIDER NUMBER
8	67	OTHER	WISCONSIN	DEANCARE PROVIDER NUMBER
9	390806393	OTHER	WISCONSIN	OTHER INS PROVIDER NUMBER
10	5112254	OTHER		NAVITUS
11	5389107	OTHER	WISCONSIN	PHYSICIANS PLUS PROVIDER
12	39080639301	OTHER	WISCONSIN	UNITY PROVIDER NUMBER
13	5112254	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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