NPIMap

Organization Active NPI

St Josephs Hospital of Marshfield Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rhinelander, WI
National Provider Identifier
1689656944
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ST JOSEPHS HOSPITAL OF MARSHFIELD INC
Practice address
232 S Courtney St
Rhinelander, WI 54501-3319
Phone
(715) 387-1713
Fax
(715) 387-7434
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Mr. John A Skaden
Title
Cfo
Phone
(715) 387-7856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X WI Primary

Addresses

Primary practice location

232 S Courtney St
Rhinelander, WI 54501-3319

Mailing address

611 Saint Joseph Avenue
Marshfield, WI 54449-1898
Phone (715) 387-1713

Other identifiers 1

IdentifierTypeStateIssuer
42057800MedicaidWI

National Provider Directory

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

Other organizations with this tax ID 7

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

Locations

611 N Saint Joseph Ave
Marshfield, WI 54449
Phone (715) 387-1713

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1689656944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SAINT JOSEPH AVENUE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491898",
            "telephone_number": "715-387-1713",
            "fax_number": "715-387-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S COURTNEY ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013319",
            "telephone_number": "715-387-1713",
            "fax_number": "715-387-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS HOSPITAL OF MARSHFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "SKADEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-387-7856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42057800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.