Organization
SSM HEALTH CARE OF WISCONSIN, INC.
Active
Other names
SSM Health St. Mary's Hospital - Janesville
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R MINERATH (SYSTEM DIRECTOR GOV'T REIMBURSEMENT)
(608) 445-2411
Entity
Organization
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 314-8878
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 314-8878
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021887
—
WI
Enumeration date
08/04/2011
Last updated
01/21/2025
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