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SSM HEALTH CARE OF WISCONSIN INC. NPI 1194004408


NPI Information

NPI: 1194004408
Provider Name: SSM HEALTH CARE OF WISCONSIN, INC.

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

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
3400 E RACINE ST
JANESVILLE, WI
ZIP 53546
Phone: (608) 373-8000
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SSM HEALTH CARE OF WISCONSIN, INC. is a general acute care hospital in Janesville, WI. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SSM HEALTH CARE OF WISCONSIN, INC. NPI is 1194004408. 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 Troy Walker .
The authorized official title is Director Of Finance and has the following contact phone number (608) 356-1423.

The enumeration date for this NPI number is 8/4/2011 and was last updated on 12/1/2020.


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
1275N00000XMedicare Defined Swing Bed UnitNo
2282N00000XGeneral Acute Care HospitalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100021887MEDICAIDWISCONSIN

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

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