Organization
SSM HEALTH CARE OF WISCONSIN, INC
Active
Other names
St. Mary's Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BILL BENDER (ADMINISTRATOR)
(608) 845-0580
Entity
Organization
Contact information
Practice address
3401 MAPLE GROVE DR, MADISON, WI 53719-5013
(608) 845-1000
(608) 845-1001
Mailing address
3401 MAPLE GROVE DR, MADISON, WI 53719-5013
(608) 845-1000
(608) 845-1001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20184500
—
WI
Enumeration date
06/07/2006
Last updated
08/19/2013
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