Provider Type Icon

SSM HEALTH CARE OF WISCONSIN INC. NPI 1003258435


NPI Information

NPI: 1003258435
Provider Name: SSM HEALTH CARE OF WISCONSIN, INC.

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

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 52D0392877

Address:
3400 E RACINE ST
JANESVILLE, WI
ZIP 53546
Phone: (608) 373-8000
Get Directions

SSM HEALTH CARE OF WISCONSIN, INC. is a durable medical equipment medical supplies in Janesville, 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 1003258435. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health St. Mary's Hospital - Janesville.

The provider's business location address is:

3400 E RACINE ST
JANESVILLE, WI
ZIP 53546-344
Phone: (608) 373-8000
Fax: (608) 314-8878

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 CLIA number assigned to this NPI record is 52D0392877 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/26/2013 and was last updated on 11/27/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies318WISCONSINYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.