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Organization
SSM HEALTH CARE OF WISCONSIN INC
Active
Organization
SSM HEALTH CARE OF WISCONSIN INC
Active
Other names
SSM Health St Clare Hospital-Baraboo
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R MINERATH (SYSTEM DIRECTOR GOV'T REIMBURSEMENT)
(608) 445-2411
Entity
Organization
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
65
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009390
PHYSICIANS PLUS PROV #
WI
05
—
11022800
—
WI
01
—
1309280001
DMERC PROV #
WI
01
—
391023846
FTN-COMMERCIAL PAYERS
WI
05
—
391023846001
—
IL
01
—
391023846028
BLUE CROSS/BLUE SHIELD
WI
01
—
70
DEANCARE HMO VENDOR #
WI
Enumeration date
07/07/2005
Last updated
01/21/2025
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