St. Clare Health Mission of Monroe County, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

ST. CLARE HEALTH MISSION OF MONROE COUNTY, INC

Practice address

310 West Main Street
Sparta, WI 54656-2142

Phone

(608) 366-5343

NPI assigned

Apr 1, 2020

Organization subpart

No

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

Authorized official

Name

Michael Joseph Suevdens, M.D

Title

Medical Director

Phone

(608) 366-5343

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1912535022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WEST MAIN STREET",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562142",
            "telephone_number": "608-366-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WEST MAIN STREET",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562142",
            "telephone_number": "608-366-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLARE HEALTH MISSION OF MONROE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "SUEVDENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "608-366-5343",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sparta Area School District
• Sparta Chiropractic Clinic, LLC
• Sparta Dental Center SC
• Sparta Family Dentistry, LLC
• Sparta Pharmacy LLC.
• Jill M Stebbins, MD
• Megan J Steele, O.T.
• Tracy Rae Steele
• Jessica Robin Stefanski-Williams, DO
• Janelle L Steinhoff, RN

• Voluntary or Charitable Agency in Sparta, WI
• Providers in Sparta, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.