Organization Active NPI

St Josephs Hospital of the Hospital Sisters of the 3Rd Order of St Fra

Doing business as HSHS St. Joseph's Hospital

  • Physical Therapy Clinic/Center
  • Eau Claire, WI
National Provider Identifier
1619415262
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
15 Issued in WI
Legal business name
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRA
Doing business as
HSHS St. Joseph's Hospital
Practice address
1109 W Clairemont Ave
Eau Claire, WI 54701-6105
Phone
(715) 717-4338
Fax
(715) 717-4346
NPI assigned
Feb 3, 2017
Last updated
Dec 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Wagner
Title
Ceo
Phone
(715) 717-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 15 WI Primary

Addresses

Primary practice location

1109 W Clairemont Ave
Eau Claire, WI 54701-6105

Mailing address

2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone (715) 717-7200

Other names 1

  • HSHS St. Joseph's Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address st_joseph_hospital_chippewa_falls2201854@ewd.direct.hshs.org Direct

National Provider Directory

National Provider Directory
Tax ID family
L E Phillips Outpatnt P14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1619415262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295407",
            "telephone_number": "715-717-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016105",
            "telephone_number": "715-717-4338",
            "fax_number": "715-717-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-717-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "st_joseph_hospital_chippewa_falls2201854@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1109 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HSHS St. Joseph's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HSHS St. Joseph's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.