Provider Type Icon

SSM HEALTH CARE OF WISCONSIN INC NPI 1730637240


NPI Information

NPI: 1730637240
Provider Name: SSM HEALTH CARE OF WISCONSIN INC

Doing Business As: SSM HEALTH ST CLARE WI DELLS CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 52D0394199

Address:
1310 BROADWAY
WISCONSIN DELLS, WI
ZIP 53965
Phone: (608) 253-8070
Get Directions

SSM HEALTH CARE OF WISCONSIN INC is a clinic center in Wisconsin Dells, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SSM HEALTH CARE OF WISCONSIN INC NPI is 1730637240. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health St Clare Wi Dells Clinic.

The provider's business location address is:

1310 BROADWAY
WISCONSIN DELLS, WI
ZIP 53965-358
Phone: (608) 253-8070

The provider's authorized official is Troy Walker .
The authorized official title is Director Of Finance and has the following contact phone number (608) 356-1400.

The CLIA number assigned to this NPI record is 52D0394199 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/13/2016 and was last updated on 9/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyWISCONSINNo
2261QR0404XClinic/CenterRehabilitation, Cardiac FacilitiesWISCONSINNo
3332S00000XHearing Aid EquipmentWISCONSINNo
4231H00000XAudiologistWISCONSINNo
5235Z00000XSpeech-Language PathologistWISCONSINNo
6163WD0400XRegistered NurseDiabetes EducatorWISCONSINNo
7261Q00000XClinic/CenterWISCONSINYes

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.