SSM HEALTH CARE OF WISCONSIN INC (NPI# 1386641207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386641207 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN INC |
| Other Organization Name | SSM HEALTH ST CLARE HOSPITAL-BARABOO |
| Practice Address |
707 14th St Baraboo WI 53913-1539 |
| Practice Telephone | 6083561400 |
| Mailing Telephone | 6083561400 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | TROY WALKER (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6083561400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 65 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PHYSICIANS PLUS PROV # | 1009390 | 01 |
| WI | BLUE CROSS/BLUE SHIELD | 391023846028 | 01 |
| WI | 11022800 | 05 | |
| IL | 391023846001 | 05 | |
| WI | DMERC PROV # | 1309280001 | 01 |
| WI | DEANCARE HMO VENDOR # | 70 | 01 |
| WI | FTN-COMMERCIAL PAYERS | 391023846 | 01 |
| Other Name | Type Code |
|---|---|
| SSM HEALTH St Clare Hospital Baraboo | Doing Business As Name - Organization |
| SSM Health St Clare Hospital-Baraboo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285020552 | Ssm Health Care of Wisconsin Inc | Clinical Medical Laboratory | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-04-13 |
| 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 |
707 14TH ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051205 | Deanna May Nault | Nurse Practitioner | 707 14th St, Baraboo, WI 53913-1597 | 2020-04-09 |
| 1588227367 | Karlie Wipperfurth | Occupational Therapist | 707 14th St, Baraboo, WI 53913-1539 | 2019-04-17 |
| 1164998225 | Cheyenne Pooler | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1597 | 2018-10-16 |
| 1548754526 | Paul Jest | Pharmacist | 707 14th St, Baraboo, WI 53913-1539 | 2018-06-21 |
| 1871978510 | Alison Allstadt | Audiologist | 707 14th St, Baraboo, WI 53913-1539 | 2015-07-23 |
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1760880322 | Kaylee Frazier | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2014-12-15 |
| 1477973873 | Elizabeth Kerrigan | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1539 | 2014-04-24 |
| 1356789077 | Mary Firari | Physician Assistant | 707 14th St, Baraboo, WI 53913-1539 | 2013-06-05 |
| 1487997250 | Bradley R. Riesch | Pharmacist | 707 14th St, Pharmacy, Baraboo, WI 53913-1539 | 2013-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| 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 |
|---|---|---|---|---|
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1700112307 | Ssm Healthcare of Wi, Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2009-11-02 |
| 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 | ||||
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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.