# ST. JOSEPH'S HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Joseph's Health Services - Elroy Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699788273
- **Authorized official:** PAMELA K DEWITT (CFO)
- **Authorized official phone:** (608) 489-8103

## Contact information

- **Practice address:** 1705 OMAHA ST, ELROY, WI 53929-9776
- **Practice address phone:** (608) 489-8270
- **Practice address fax:** (608) 489-8188
- **Mailing address:** PO BOX 527, HILLSBORO, WI 54634-0527
- **Mailing address phone:** (608) 489-8270
- **Mailing address fax:** (608) 489-8188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 06/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32762900 | — | WI |
| 01 | — | 78B97JO | BCBS MINNESOTA | MN |
| 01 | — | 78B97JO | ATRIUM | WI |
| 01 | — | P10 | DEAN HEALTH PLAN | WI |