# SSM HEALTH CARE OF WISCONSIN, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH CARE OF WISCONSIN, INC
- **Other names:** St Mary's Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538349824
- **Legal business name:** SSM HEALTH CARE OF WISCONSIN, INC
- **Authorized official:** BOB FALSEY (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (952) 653-2565

## Contact information

- **Practice address:** 700 S PARK ST, MADISON, WI 53715-1830
- **Practice address phone:** (952) 653-2565
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2007
- **Last updated:** 07/01/2015