Active NPI
SSM Healthcare of Wi Inc
- Pharmacy
- Baraboo, WI
National Provider Identifier
1558324038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- SSM HEALTHCARE OF WI INC
- Practice address
- 707 14TH St
Baraboo, WI 53913-1539 - Phone
- (608) 356-1400
- NPI assigned
- Apr 7, 2006
- Last updated
- Mar 7, 2023
- Organization subpart
- Yes
- Parent organization
- ST CLARE HOSPITAL AND HEALTH SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra L Anderson
- Title
- President
- Phone
- (608) 356-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
707 14TH St
Baraboo, WI 53913-1539
Mailing address
707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5112660 | Other | WI | NABP # |
| 7924-042 | Other | WI | PHARMACY LICENSE # |
National Provider Directory
National Provider Directory- Tax ID family
- St Clare Hospital
- Part of
- St Clare Hospital
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1700112307
-
- Non-Pharmacy Dispensing Site
- Baraboo, WI
- NPI 1780808170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1558324038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131539",
"telephone_number": "608-356-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131539",
"telephone_number": "608-356-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSM HEALTHCARE OF WI INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST CLARE HOSPITAL AND HEALTH SERVICES",
"enumeration_date": "2006-04-07",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "608-356-1400"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP #",
"identifier": "5112660",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE #",
"identifier": "7924-042",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baraboo, WI
- SSM Health Care of Wisconsin, Inc. (St Clare Dialysis Center)
- SSM Health Care of Wisconsin, Inc. (St. Clare Meadows Care Center)
- SSM Health Treatment and Recovery Center
- SSM Healthcare of Wi Inc (St Clare Hospital and Health)
- SSM Healthcare of Wi Inc
- SSM Healthcare of Wi, Inc
- SSM Healthcare of Wisconsin, Inc (St Clare Hospital and Health Services)
- St Clare Care and Rehab Center LLC
- St Clare Imaging Services, LLC
- St. Clare Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.