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Organization
SSM HEALTH CARE OF WISCONSIN INC
Active
Organization
SSM HEALTH CARE OF WISCONSIN INC
Active
Parent organization
SSM HEALTH ST CLARE HOSPITAL-BARABOO
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH ST CLARE HOSPITAL-BARABOO
Authorized official
TROY WALKER (DIRECTOR OF FINANCE)
(608) 356-1400
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
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009390
PHYS PLUS PROV #
WI
05
—
11022800
—
WI
01
—
391023846
COMMERICAL INS PROV #
WI
01
—
391023846028
BLUE CROSS PROV #
WI
Enumeration date
11/25/2005
Last updated
10/19/2016
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