Organization
ST. JOSEPH'S HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN NELSON (CFO)
(608) 489-8103
Entity
Organization
Contact information
Practice address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8000
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
—
—
282NC0060X
Critical Access Hospital
Primary
1005
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11007400
—
WI
05
—
11007410
—
WI
01
—
210453
DEAN HEALTH PLAN
WI
01
—
5919HJO
BCBS MN
MN
01
—
5919HJO
ATRIUM
WI
01
—
W002642
CHAMPUS
WI
Enumeration date
10/10/2005
Last updated
03/29/2018
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