St. Joseph'S Community Health Services, Inc
Organization Active NPI Skilled Nursing Facility · Hillsboro, WI
NPI 1295849784 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1295849784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2186 (WI)
- Legal business name
- ST. JOSEPH'S COMMUNITY HEALTH SERVICES, INC
- Practice address
- 400 Water Avenue
Hillsboro, WI 54634 - Phone
- (608) 489-8000
- Fax
- (608) 489-8181
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Debra S. Smith
- Title
- President/Ceo
- Phone
- (608) 489-8101
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- St Joseph'S Health Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2186 | WI | Yes |
Addresses
Primary practice location
400 Water Avenue
Hillsboro, WI 54634
Mailing address
PO Box 527
Hillsboro, WI 54634-0527
Phone (608) 489-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33019000 | Medicaid | WI | |
| 20131400 | Medicaid | WI |
Other names
- St. Joseph's Nursing Home
Other providers in Hillsboro, WI
- Thomas K Resan
- Cassidy Anne Sanchez
- School District of Hillsboro
- Danielle M Shapiro
- Richard H Shoskey
- St. Joseph'S Health Services, Inc
- St. Joseph'S Health Services, Inc
- St. Joseph'S Health Services, Inc.
- St. Joseph'S Health Services, Inc.
- St. Joseph'S Health Services, Inc.
All providers in Hillsboro, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.