Organization
ST. JOSEPH'S HEALTH SERVICES, INC
Active
Other names
St. Joseph's Health Services - Wonewoc Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA K DEWITT (CFO)
(608) 489-8103
Entity
Organization
Contact information
Practice address
301 RAILROAD RD, WONEWOC, WI 53968-9425
(608) 464-3575
(608) 464-3576
Mailing address
PO BOX 527, HILLSBORO, WI 54634-0527
(608) 489-8000
(608) 489-8181
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100019417
—
WI
01
—
78B97JO
BCBS MINNESOTA
MN
01
—
78B97JO
ATRIUM
WI
01
—
P10
DEAN HEALTH PLAN
WI
Enumeration date
08/14/2006
Last updated
05/07/2012
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