SSM HEALTH CARE OF WISCONSIN INC (NPI# 1285020552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285020552 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN INC |
| Other Organization Name | REFERENCE LAB |
| 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 | 2015-04-13 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | JOSEPH MINERATH (SYSTEM DIR OF GOV REIMBURSEMENT) |
| Authorized Official Telephone | 6082586891 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH ST MARYS HOSPITAL - JANESVILLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 318 | WI | Laboratories |
| Other Name | Type Code |
|---|---|
| REFERENCE LAB | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641207 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2005-07-07 |
| 1457802316 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 530 Wi Dells Pkwy S, Wisconsin Dells, WI 53965-9732 | 2016-10-17 |
| 1730637240 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 1310 Broadway, Wisconsin Dells, WI 53965-1358 | 2016-09-13 |
| 1528516036 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2016-09-13 |
| 1902290034 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 700 S Park St, Madison, WI 53715-1830 | 2015-03-26 |
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1548654676 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-03-26 |
| 1275947137 | Ssm Health Care of Wisconsin Inc | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-06-18 |
| 1710391776 | Ssm Health Care of Wisconsin Inc | Family Medicine | 700 S Park St, Madison, WI 53715-1830 | 2014-06-18 |
| 1467435214 | Ssm Health Care of Wisconsin Inc | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2005-11-25 |
| 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 |
| 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 |
| 1275947137 | Ssm Health Care of Wisconsin Inc | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-06-18 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619311321 | Janesville Psychiatric Clinic | Clinical Medical Laboratory | 15 W Milwaukee St, Suite 206, Janesville, WI 53548-2998 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382481 | Elicia A Liebe | Clinical Medical Laboratory | 4733 W Montana St, Milwaukee, WI 53219-3375 | 2020-09-26 |
| 1881203826 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 4852 S 6th St, Milwaukee, WI 53221-2462 | 2020-07-27 |
| 1043854144 | Stemina Biomarker Discovery, Inc. | Clinical Medical Laboratory | 504 S Rosa Rd Ste 150, Madison, WI 53719-1218 | 2019-10-31 |
| 1881238269 | Derek Raymond Schindler | Clinical Medical Laboratory | 680 Baker Rd, Hudson, WI 54016-7901 | 2019-10-29 |
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1003391269 | Precise Testing LLC | Clinical Medical Laboratory | 6815 W Capitol Dr Ste 105, Milwaukee, WI 53216-2056 | 2018-10-03 |
| 1992286074 | Rprd Diagnostics LLC | Clinical Medical Laboratory | 1225 Discovery Parkway, Suite 260, Milwaukee, WI 53226 | 2018-08-27 |
| 1164938916 | Tai Diagnostics, Inc. | Clinical Medical Laboratory | 10101 W Innovation Dr Ste 600, Wauwatosa, WI 53226-4824 | 2017-12-15 |
| 1831619535 | Laboratory Corporation of America | Clinical Medical Laboratory | 1111 Delafield St Ste 301, Waukesha, WI 53188-3407 | 2017-06-23 |
| 1558896498 | Noah Associates Incorporated | Clinical Medical Laboratory | 10501 W Greenfield Ave, West Allis, WI 53214-2421 | 2017-04-28 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
Please comment or provide details below to improve the information on SSM HEALTH CARE OF WISCONSIN INC.
| 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.