# SSM HEALTH CARE OF WISCONSIN INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH ST CLARE HOSPITAL-BARABOO
- **Other names:** Medical Providers
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730160011
- **Legal business name:** SSM HEALTH ST CLARE HOSPITAL-BARABOO
- **Authorized official:** AMY J GRINNELL (DIRECTOR OF FINANCE)
- **Authorized official phone:** (608) 229-7885

## Contact information

- **Practice address:** 707 14TH ST, BARABOO, WI 53913-1539
- **Practice address phone:** (608) 356-1400
- **Mailing address:** 707 14TH ST, BARABOO, WI 53913-1539
- **Mailing address phone:** (608) 356-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 227900000X | Registered Respiratory Therapist | — | NULL | — |
| 227900000X | Registered Respiratory Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 07/18/2026