Organization
SSM HEALTHCARE OF WI INC
Active
Organization
SSM HEALTHCARE OF WI INC
Active
Parent organization
SSM HEALTH ST CLARE HOSPITAL-BARABOO
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH ST CLARE HOSPITAL-BARABOO
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
291U00000X
Clinical Medical Laboratory
Primary
52D0939990
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009390
PHYS PLUS PROV #
WI
05
—
32943300
—
WI
01
—
391023846
COMMERCIAL INS PROV #
WI
01
—
391023846028
BLUE CROSS PROV #
WI
01
—
70
DEANCARE PROV #
WI
Enumeration date
01/14/2006
Last updated
11/27/2023
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