NPIMap

Organization Active NPI

St. Joseph's Health Services, Inc

  • Pharmacy
  • Hillsboro, WI
National Provider Identifier
1972658631
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ST. JOSEPH'S HEALTH SERVICES, INC
Practice address
400 Water Ave
Hillsboro, WI 54634
Phone
(608) 489-8000
Fax
(608) 489-8181
NPI assigned
Jan 24, 2007
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Ms. Pamela K Dewitt
Title
Cfo
Phone
(608) 489-8103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Long Term Care Hospital 282E00000X 6139 WI

Addresses

Primary practice location

400 Water Ave
Hillsboro, WI 54634

Mailing address

PO Box 527
Hillsboro, WI 54634-0527
Phone (608) 489-8000

Other identifiers 2

IdentifierTypeStateIssuer
33019000MedicaidWI
5114602OtherWINCPDP

Other names 1

  • St. Joseph's Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
St Joseph's Community Health Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1972658631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546340527",
            "telephone_number": "608-489-8000",
            "fax_number": "608-489-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "54634",
            "telephone_number": "608-489-8000",
            "fax_number": "608-489-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-489-8103",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "WI",
            "license": "6139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33019000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5114602",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.