Organization
ST. JOSEPH'S HEALTH SERVICES, INC.
Active
Other names
St. Joseph's Health Services - Elroy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA K DEWITT (CFO)
(608) 489-8103
Entity
Organization
Contact information
Practice address
1705 OMAHA ST, ELROY, WI 53929-9776
(608) 489-8270
(608) 489-8188
Mailing address
PO BOX 527, HILLSBORO, WI 54634-0527
(608) 489-8270
(608) 489-8188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32762900
—
WI
01
—
78B97JO
BCBS MINNESOTA
MN
01
—
78B97JO
ATRIUM
WI
01
—
P10
DEAN HEALTH PLAN
WI
Enumeration date
08/14/2006
Last updated
06/04/2012
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