SSM HEALTH CARE OF WISCONSIN, INC. (NPI# 1194004408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194004408 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN, INC. |
| Other Organization Name | SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE |
| Practice Address |
3400 E Racine St Janesville WI 53546-2344 |
| Practice Telephone | 6083738000 |
| Practice Fax Number | 6083148878 |
| Mailing Telephone | 6083738000 |
| Mailing Fax Number | 6083148878 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | JOSEPH MINERATH (SYSTEM DIR OF GOV REIMBURSEMENT) |
| Authorized Official Telephone | 6082586891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100021887 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health St. Mary's Hospital - Janesville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067636 | Ssm Health Care of Wisconsin, Inc. | Skilled Nursing Facility | 1414 Jefferson St, Baraboo, WI 53913-1503 | 2006-03-21 |
| 1053392845 | Ssm Health Care of Wisconsin, Inc. | Clinic/Center | 1600 Jefferson St, Baraboo, WI 53913-1542 | 2005-11-08 |
| 1184621211 | Ssm Health Care of Wisconsin, Inc. | General Acute Care Hospital | 700 S. Park St., Madison, WI 53715-1830 | 2005-07-05 |
| 1003258435 | Ssm Health Care of Wisconsin, Inc. | Durable Medical Equipment & Medical Supplies | 3400 E Racine St, Janesville, WI 53546-2344 | 2013-07-26 |
| 1407932536 | Ssm Health Care of Wisconsin, Inc. | Pharmacy | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2006-10-31 |
| Street Address |
3400 E RACINE ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583896 | Richard Edward Galgon | Anesthesiology | 3400 E Racine St, Janesville, WI 53546-2344 | 2006-01-18 |
| 1043877707 | Emily Fern Ziegler | Physical Therapist | 3400 E Racine St, Janesville, WI 53546-2344 | 2019-05-28 |
| 1972077808 | Jessica Trepka Hoyt | Physical Therapy Assistant | 3400 E Racine St, Janesville, WI 53546-2344 | 2019-01-14 |
| 1447798525 | Shaheera Chughtai | Internal Medicine | 3400 E Racine St, Janesville, WI 53546-2344 | 2017-02-08 |
| 1295289122 | Olga Lester | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2016-08-09 |
| 1235682964 | Teresa L. Nehls | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2016-07-29 |
| 1285020552 | Ssm Health Care of Wisconsin Inc | Clinical Medical Laboratory | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-04-13 |
| 1548654676 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-03-26 |
| 1033517677 | Jennifer Sue Canik | Occupational Therapist | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-12-14 |
| 1225445307 | Kelly Mcmeans | Nurse Anesthetist, Certified Registered | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548654676 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.