NPIMap

Organization Active NPI

SSM Health Care of Wisconsin Inc

Doing business as SSM Health St Clare Wi Dells Clinic

  • Clinic/Center
  • Wisconsin Dells, WI
National Provider Identifier
1730637240
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SSM HEALTH CARE OF WISCONSIN INC
Doing business as
SSM Health St Clare Wi Dells Clinic
Practice address
1310 Broadway
Wisconsin Dells, WI 53965-1358
Phone
(608) 253-8070
NPI assigned
Sep 13, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM HEALTH ST CLARE HOSPITAL-BARABOOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Troy Walker
Title
Director of Finance
Phone
(608) 356-1400

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WI Primary
Physical Therapy Clinic/Center 261QP2000X WI
Cardiac Rehabilitation Clinic/Center 261QR0404X WI
Hearing Aid Equipment 332S00000X WI
Diabetes Educator Registered Nurse 163WD0400X WI
Audiologist 231H00000X WI
Speech-Language Pathologist 235Z00000X WI

Addresses

Primary practice location

1310 Broadway
Wisconsin Dells, WI 53965-1358

Mailing address

1310 Broadway
Wisconsin Dells, WI 53965-1358
Phone (608) 253-8070

Other names 1

  • SSM HEALTH ST CLARE WI DELLS CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rocco J Fiordelisi MD22 organizations share this tax ID, including this one
Part of
Rocco J Fiordelisi MD

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1730637240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BROADWAY",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651358",
            "telephone_number": "608-253-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BROADWAY",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651358",
            "telephone_number": "608-253-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE OF WISCONSIN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH ST CLARE HOSPITAL-BARABOO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "608-356-1400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM HEALTH ST CLARE WI DELLS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wisconsin Dells, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.