SSM HEALTH CARE OF WISCONSIN, INC (NPI# 1699789362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699789362 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN, INC |
| Other Organization Name | SSM HEALTH ST. MARY'S HOSPITAL - MADISON |
| Practice Address |
700 S. Park St. Madison WI 53715-1830 |
| Practice Telephone | 6082516100 |
| Practice Fax Number | 6082585221 |
| Mailing Telephone | 6082516100 |
| Mailing Fax Number | 6082585221 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | JOSEPH MINERATH (SYSTEM DIR OF REIMBURSEMENT) |
| Authorized Official Telephone | 6082586891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
71 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41347600 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health St. Mary's Hospital - Madison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649210030 | Ssm Health Care of Wisconsin, Inc | Skilled Nursing Facility | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2006-06-07 |
| 1538349824 | Ssm Health Care of Wisconsin, Inc | Non-Pharmacy Dispensing Site | 700 S Park St, Madison, WI 53715-1830 | 2007-11-05 |
| 1770597445 | Ssm Health Care of Wisconsin, Inc | Clinical Medical Laboratory | 700 S. Park St., Madison, WI 53715-1830 | 2006-07-28 |
| 1386688240 | Ssm Health Care of Wisconsin, Inc | Psychiatric Unit | 700 S Park St, Madison, WI 53715-1830 | 2006-06-15 |
| 1831132802 | Ssm Health Care of Wisconsin, Inc | Pharmacy | 700 S. Park St., Madison, WI 53715-1830 | 2006-06-14 |
| Street Address |
700 S. PARK ST. |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621211 | Ssm Health Care of Wisconsin, Inc. | General Acute Care Hospital | 700 S. Park St., Madison, WI 53715-1830 | 2005-07-05 |
| 1821373655 | Ericka J. Mulhall | Nurse Anesthetist, Certified Registered | 700 S. Park St., Madison, WI 53715-1830 | 2011-10-12 |
| 1770597445 | Ssm Health Care of Wisconsin, Inc | Clinical Medical Laboratory | 700 S. Park St., Madison, WI 53715-1830 | 2006-07-28 |
| 1831132802 | Ssm Health Care of Wisconsin, Inc | Pharmacy | 700 S. Park St., Madison, WI 53715-1830 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1619243136 | Madison County Rescue Squad Inc | Ambulance | 1473 N Main Street, Madison, VA 22727 | 2012-03-29 |
| 1588995062 | Madison County Board of Supervisors | Ambulance | 1449 North Main Street, Madison, VA 22727 | 2010-01-22 |
| 1346571031 | Kings Daughters Hospital | Ambulance | 1 Kings Daughters Drive, Madison, IN 47250-3357 | 2010-01-20 |
| 1508905282 | Ryan Bros Ambulance Inc | Ambulance | 922 S Park St, Madison, WI 53715-1834 | 2007-02-06 |
| 1033209424 | City of Madison | Ambulance | 301 1st Street, Madison, MN 56256 | 2006-10-13 |
| 1255360970 | County Council of Dorchester County | Ambulance | 1154 Taylors Island Rd, Madison, MD 21648 | 2006-07-03 |
| 1891747903 | Blooming Grove, Burke, Maple Bluff Ems Ambulance District | Ambulance | 18 Oxford Pl, Madison, WI 53704-5955 | 2006-05-17 |
| 1487634028 | Town of Madison | Ambulance | 2120 Fish Hatchery Rd, Madison, WI 53713-1253 | 2006-01-19 |
| 1912997248 | City of Madison | Ambulance | 325 W Johnson St, Madison, WI 53703-2218 | 2005-10-27 |
| Find all providers in MADISON | ||||
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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.