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Organization

SSM HEALTHCARE OF WI INC

Active
Other names
ST CLARE HOSPITAL AND HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
TROY WALKER (DIRECTOR OF FINANCE)
(608) 356-1400
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1009390
PHYS PLUS PROV #
WI
01
391023846
COMM INS PROV #
WI
01
391023846028
BLUE CROSS PROV #
WI
05
41173400
WI
01
70
DEANCARE PROV #
WI
Enumeration date
04/03/2006
Last updated
02/12/2024
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