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
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11022800
—
WI
01
—
70
DEAN HEALTH HMO
WI
Enumeration date
11/02/2009
Last updated
11/02/2009
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