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SSM HEALTH CARE OF WISCONSIN INC. NPI 1407932536


NPI Information

NPI: 1407932536
Provider Name: SSM HEALTH CARE OF WISCONSIN, INC.

Doing Business As: ST MARYS CARE CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3401 MAPLE GROVE DR
MADISON, WI
ZIP 53719
Phone: (608) 845-0447
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SSM HEALTH CARE OF WISCONSIN, INC. is a long term care pharmacy pharmacy in Madison, WI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SSM HEALTH CARE OF WISCONSIN, INC. NPI is 1407932536. The provider is registered as an organization entity type.
The provider Is Doing Business As St Marys Care Center Pharmacy.

The provider's business location address is:

3401 MAPLE GROVE DR
MADISON, WI
ZIP 53719-013
Phone: (608) 845-0447
Fax: (608) 845-0449

The provider's authorized official is Audrey Rufenacht .
The authorized official title is Pharmacist and has the following contact phone number (608) 845-0447.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 10/25/2021.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy8247-42WISCONSINYes

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
133241000MEDICAIDWISCONSIN
22115167OTHERPK

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

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.