ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC. (NPI# 1184800468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184800468 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC. |
| Other Organization Name | SYNERGY HEALTH - ST. JOSEPHS HOSPITAL (BHU) |
| Practice Address |
3200 Pleasant Valley Rd West Bend WI 53095-9274 |
| Mailing Address |
551 S Silverbrook Dr West Bend WI 53095-3868 |
| Practice Telephone | 2623345533 |
| Mailing Telephone | 2623345533 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | SUE WESSING (SR. FINANCIAL ANALYST - BUSINESS OF) |
| Authorized Official Telephone | 2623345533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 44 | WI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11011200 | 05 |
| Other Name | Type Code |
|---|---|
| Synergy Health - St. Josephs Hospital (BHU) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851336044 | St. Josephs Community Hospital of West Bend Inc. | General Acute Care Hospital | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2006-06-19 |
| Street Address |
3200 PLEASANT VALLEY RD |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-9274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568453223 | Ajit B Divgi | Internal Medicine | 3200 Pleasant Valley Rd, Kraemer Cancer Care Center, West Bend, WI 53095-9274 | 2005-11-02 |
| 1992328553 | Elizabeth Dille | Family Medicine | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2020-05-18 |
| 1407378086 | Amalia A Brouillard | Nurse Practitioner | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2017-07-14 |
| 1194259291 | Amy Mannes | Occupational Therapist | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2017-04-14 |
| 1033667688 | Jennifer Esser | Physician Assistant | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2016-09-12 |
| 1831558113 | Andrea M Pipito | Nurse Practitioner | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2016-02-16 |
| 1659743318 | Meghan Lynn Christian | Nurse Practitioner | 3200 Pleasant Valley Rd, Pulmonary Diseases, West Bend, WI 53095-9274 | 2015-10-21 |
| 1043699176 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2015-05-21 |
| 1376935395 | Jessica Anne Held | Nurse Practitioner | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2015-02-27 |
| 1053759571 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2013-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1417170283 | Aurora Health Care Metro, Inc. | Psychiatric Unit | 2900 W Oklahoma Ave., Milwaukee, WI 53215 | 2007-04-10 |
| 1811926132 | Columbia St. Mary's Hospital Milwaukee, Inc | Psychiatric Unit | 2323 N Lake Drive, Milwaukee, WI 53211-4508 | 2006-06-30 |
| 1437105624 | Community Memorial Hospital of Menomonee Falls Inc | Psychiatric Unit | W180 N 8085 Town Hall Rd, Menomonee Falls, WI 53052 | 2006-05-26 |
| 1740747559 | Columbia St Mary's Hospital Ozaukee, Inc. | Psychiatric Unit | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-02-28 |
| 1093205163 | Ascension Ne Wisconsin, Inc | Psychiatric Unit | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2018-05-15 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1982901542 | Milwaukee County Mental Health Division | Psychiatric Unit | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2011-02-17 |
| 1629221502 | Mohammad Mallick, Md, LLC | Psychiatric Unit | 1525 Liberty Ct, Brookfield, WI 53045-5327 | 2008-10-23 |
| 1811172489 | Aurora Sinai Medical Center, Inc. | Psychiatric Unit | 945 N 12th St, Milwaukee, WI 53233-1305 | 2008-01-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.