Ssm Health St Clare Hospital-Baraboo

LBN: Ssm Health Care Of Wisconsin Inc
Ssm Health St Clare Hospital-Baraboo is an health care organization with primary practice located at 707 14Th St , Baraboo WI 53913-1539. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Ssm Health Care Of Wisconsin Inc can be contacted via phone (608) 356-1400, or through Walker, Troy via phone (608) 356-1400.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 356-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Troy
Phone: (608) 356-1400

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X
Hospitals / General Acute Care Hospital 282N00000X 65 Wisconsin

Profile Details

NPI number 1386641207
LBN Legal business name Ssm Health Care Of Wisconsin Inc
DBA Doing business as Ssm Health St Clare Hospital-Baraboo
Authorized official Walker, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 1st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386641207 NPPES
Wisconsin Other 1309280001 DMERC PROV #
Wisconsin Other 70 DMERC PROV #
Wisconsin Other 391023846028 DMERC PROV #
Wisconsin Other 391023846 DMERC PROV #
Wisconsin MEDICAID 11022800 DMERC PROV #
Wisconsin MEDICAID 391023846001 DMERC PROV #
Wisconsin Other 1009390 DMERC PROV #

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