Organization
SSM HEALTHCARE OF WI INC
Active
Parent organization
ST CLARE HOSPITAL AND HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST CLARE HOSPITAL AND HEALTH SERVICES
Authorized official
SANDRA L ANDERSON (PRESIDENT)
(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
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5112660
NABP #
WI
01
—
7924-042
PHARMACY LICENSE #
WI
Enumeration date
04/07/2006
Last updated
03/07/2023
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