NPIMap

Organization Active NPI

Saint Joseph'S Hospital of Marshfield, Inc

  • Air Ambulance
  • Marshfield, WI
National Provider Identifier
1629050232
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
6001347 Issued in WI
Legal business name
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD, INC
Practice address
611 Saint Joseph Ave
Marshfield, WI 54449-1832
Phone
(715) 387-1713
Fax
(715) 387-7434
NPI assigned
Nov 18, 2005
Organization subpart
Yes
Parent organization
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Debra K Standridge
Title
Regional President
Phone
(414) 465-3720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 6001347 WI Primary

Addresses

Primary practice location

611 Saint Joseph Ave
Marshfield, WI 54449-1832

Mailing address

611 St Joseph Ave
Marshfield, WI 54449-1832
Phone (715) 387-1713

Other identifiers 1

IdentifierTypeStateIssuer
41450400MedicaidWI

Other names 1

  • Ministry Spirit Medical Transportation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Joseph-S Hospital Aoda9 organizations share this tax ID, including this one
Part of
Saint Joseph-S Hospital Aoda

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1629050232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ST JOSEPH AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491832",
            "telephone_number": "715-387-1713",
            "fax_number": "715-387-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SAINT JOSEPH AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491832",
            "telephone_number": "715-387-1713",
            "fax_number": "715-387-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH'S HOSPITAL OF MARSHFIELD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH'S HOSPITAL OF MARSHFIELD, INC",
        "enumeration_date": "2005-11-18",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "STANDRIDGE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT",
        "authorized_official_telephone_number": "414-465-3720"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "WI",
            "license": "6001347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41450400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ministry Spirit Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.