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Organization
SSM HEALTH CARE OF WISCONSIN, INC.
Active
Organization
SSM HEALTH CARE OF WISCONSIN, INC.
Active
Parent organization
ST. CLARE MEADOWS CARE CENTER
Other names
St. Clare Meadows Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. CLARE MEADOWS CARE CENTER
Authorized official
RONNIE E SCHAETZL (ADMINISTRATOR)
(608) 356-4838
Entity
Organization
Contact information
Practice address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-4838
(608) 356-5441
Mailing address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-4838
(608) 356-5441
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3099
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20184400
—
WI
01
—
391023846036
BLUE CROSS BLUE SHIELD WI
—
01
—
391023846539130001
WPS TRICARE FOR LIFE
—
01
—
39117860200
UNITY/COMMUNITY HMO
—
01
—
556910
DEAN HEALTH PLAN
—
01
—
647552
COMBINED INSURANCE CO OF
—
Enumeration date
03/21/2006
Last updated
04/20/2008
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