NPIMap

Organization Active NPI

Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
National Provider Identifier
1831279793
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1059 Issued in WI
Legal business name
SOUTHWEST HEALTH CENTER, INC
Practice address
1400 Eastside Rd
Platteville, WI 53818
Phone
(608) 348-2331
Fax
(608) 342-4763
NPI assigned
Oct 16, 2006
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Jesse Sookochoff
Title
Cfo
Phone
(608) 348-2331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1059 WI Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

1400 Eastside Rd
Platteville, WI 53818

Mailing address

1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331

Other identifiers 3

IdentifierTypeStateIssuer
1100600MedicaidWI
11000600MedicaidWI
11000610MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031117000839 WI Part B Supplier - Clinic/Group Practice 3072427772 Receives reassigned benefits from 190 practitioners
9 other NPIs on this enrollment
Practice locations: Cuba City, WI; Darlington, WI; Kieler, WI; Lancaster, WI; Platteville, WI
O20061104000433 WI Part A Provider - Critical Access Hospital 3072427772 Receives reassigned benefits from 98 practitioners
Practice locations: Platteville, WI
O20150909001993 WI Part B Supplier - Ambulance Service Supplier 3072427772 Practice locations: Platteville, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831279793. Details of each certification follow.

Hospital certification: CCN 521354

Legal name
SOUTHWEST HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2005
Last certification
Aug 29, 2016
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1981 in WI
Enrollment address
1400 Eastside Rd
Platteville, WI 53818-9800
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Southwest Health CenterCCN 521354 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1400 Eastside Rd
#1
Platteville, WI 53818

1450 Eastside Rd
#2
Platteville, WI 53818

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donna Hoppenjan Individual Corporate Director Jul 1, 2019
Angela M Udelhofen Individual Corporate Director Aug 1, 2014
Kevin G Carr Individual Corporate Director Feb 1, 2011
W-2 Managing Employee Feb 1, 2011
Lou Schweigert Individual Corporate Director Aug 1, 2011
Jesse Sookochoff Individual Corporate OfficerCfo Oct 1, 2016
W-2 Managing EmployeeCfo Oct 1, 2016
Operational/Managerial ControlCfo Oct 1, 2016
Steven N Little Individual Corporate Director Jan 1, 2021
James Schneller Individual Corporate Director Aug 1, 2006
Dan Rohrbach Individual Corporate OfficerPresident/Ceo Aug 29, 2011
W-2 Managing EmployeePresident/Ceo Aug 29, 2011
Operational/Managerial ControlPresident/Ceo Aug 29, 2011
Joseph R Rosemeyer Individual Corporate Director Jul 1, 2012
Donald Tuescher Individual Corporate Director Aug 1, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Dominic VillaHazel Green, WI, CCN 525660 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%) Jun 10, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 201

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 201

Affiliated clinicians 173

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 173

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1831279793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-2331",
            "fax_number": "608-342-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-348-2331",
            "fax_number": "608-342-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "SOOKOCHOFF",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-348-2331"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1059",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11000600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11000610",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.