Organization
SSM HEALTH CARE OF WISCONSIN INC
Active
Parent organization
SSM HEALTH ST CLARE HOSPITAL-BARABOO
Other names
Medical Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH ST CLARE HOSPITAL-BARABOO
Authorized official
TROY WALKER (DIRECTOR OF FINANCE)
(608) 356-1423
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
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
—
—
227900000X
Registered Respiratory Therapist
—
—
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009390
PHYS PLUS PROV #
WI
05
—
32880600
—
WI
01
—
391023846
COMMERCIAL INS PROV #
WI
01
—
391023846028
BLUE CROSS PROV #
WI
Enumeration date
11/14/2005
Last updated
01/17/2024
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