SSM HEALTH CARE OF WISCONSIN, INC. (NPI# 1053392845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053392845 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN, INC. |
| Other Organization Name | ST CLARE DIALYSIS CENTER |
| Practice Address |
1600 Jefferson St Baraboo WI 53913-1542 |
| Mailing Address |
707 14th St Baraboo WI 53913-1539 |
| Practice Telephone | 6083561400 |
| Mailing Telephone | 6083561400 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | SANDRA L ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 6083561402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEANCARE VENDOR # | 572292 | 01 |
| WI | PHYS PLUS PROV # | 1009390 | 01 |
| WI | 11022800 | 05 | |
| WI | BLUE CROSS PROV # | 391023846028 | 01 |
| WI | COMMERCIAL INS PROV # | 391023846 | 01 |
| Other Name | Type Code |
|---|---|
| St Clare Dialysis Center | 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 |
| 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 |
| 1194004408 | Ssm Health Care of Wisconsin, Inc. | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2011-08-04 |
| 1407932536 | Ssm Health Care of Wisconsin, Inc. | Pharmacy | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2006-10-31 |
| Street Address |
1600 JEFFERSON ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1542 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134512148 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 1600 Jefferson St Ste 200, Baraboo, WI 53913-1674 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171599 | Dubuque Internal Medicine, PC | Clinic/Center | 190 N Orange St, Richland Center, WI 53581-2163 | 2020-10-13 |
| 1316570989 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5125 W Morgan Ave, Greenfield, WI 53220-1540 | 2020-02-21 |
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1770040859 | Fresenius Medical Care Oshkosh, LLC | Clinic/Center | 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 | 2019-02-26 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1992212286 | Total Renal Care Inc | Clinic/Center | 733 E Capitol Dr, Milwaukee, WI 53212 | 2018-01-08 |
| 1023527058 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 | 2017-09-21 |
| 1093234569 | Fresenius Medical Care Milwaukee, LLC | Clinic/Center | 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 | 2017-09-15 |
| 1770010928 | Total Renal Care Inc | Clinic/Center | 9127 N 76th St, Milwaukee, WI 53223-1905 | 2017-05-18 |
| 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.