STOUGHTON HOSPITAL ASSOCIATION (NPI# 1437296456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437296456 |
Entity Type | Organization |
Organization Name | STOUGHTON HOSPITAL ASSOCIATION |
Practice Address |
900 Ridge St Stoughton WI 53589-1864 |
Practice Telephone | 6088736611 |
Practice Fax Number | 6088732255 |
Mailing Telephone | 6088736611 |
Mailing Fax Number | 6088732255 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2019-12-13 |
Authorized Official Name | MR. DANIEL C DEGROOT (PRESIDENT) |
Authorized Official Telephone | 6088732250 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | ========= | WI | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 11007210 | 05 | |
WI | 11007200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306294921 | Stoughton Hospital Association | Orthopaedic Surgery | 2 Science Ct, Madison, WI 53711-1088 | 2016-05-25 |
1184761231 | Stoughton Hospital Association | Home Health | 900 Ridge St, Stoughton, WI 53589-1864 | 2007-01-30 |
1891869079 | Stoughton Hospital Association | General Acute Care Hospital | 900 Ridge St, Stoughton, WI 53589-1864 | 2006-11-20 |
1679558647 | Stoughton Hospital Association | Psychiatric Hospital | 900 Ridge St, Stoughton, WI 53589-1864 | 2005-12-13 |
Street Address |
900 RIDGE ST |
City | STOUGHTON |
State | WI |
Zip Code | 53589-1864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881682805 | Aaron T. Schwaab | Surgery | 900 Ridge St, Stoughton, WI 53589-1864 | 2005-10-13 |
1649710286 | Megan Miles | Physical Therapist | 900 Ridge St, Stoughton, WI 53589-1864 | 2017-03-01 |
1700262623 | Taylor Borgrud | Physical Therapist | 900 Ridge St, Stoughton, WI 53589-1864 | 2015-08-03 |
1952797631 | Philip James Kass Miles | Internal Medicine | 900 Ridge St, Stoughton, WI 53589-1897 | 2015-04-09 |
1891121919 | Erica Kinler Heling | Physical Therapist | 900 Ridge St, Stoughton, WI 53589-1864 | 2013-09-20 |
1265716351 | Katherine Fixmer Hellmer | General Acute Care Hospital | 900 Ridge St, Stoughton, WI 53589-1864 | 2011-10-06 |
1942441282 | Elizabeth S Touchett | Physical Therapist | 900 Ridge St, Stoughton, WI 53589-1864 | 2009-03-17 |
1184880445 | Emily Ruth Devine | Physical Therapist | 900 Ridge St, Stoughton, WI 53589-1864 | 2008-08-05 |
1033385273 | Mary Quade | Occupational Therapist | 900 Ridge St, Stoughton, WI 53589-1864 | 2008-05-07 |
1326211350 | Denise Marie Duranczyk | Physical Therapist | 900 Ridge St, Stoughton, WI 53589-1864 | 2008-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
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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 |
1184800468 | St. Josephs Community Hospital of West Bend Inc. | Psychiatric Unit | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2008-01-16 |
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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.