Healthcare Provider Details

I. General information

NPI: 1871469627
Provider Name (Legal Business Name): ST. JOSEPH'S HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WATER AVE STE 1
HILLSBORO WI
54634-9051
US

IV. Provider business mailing address

PO BOX 527
HILLSBORO WI
54634-0527
US

V. Phone/Fax

Practice location:
  • Phone: 608-489-8000
  • Fax:
Mailing address:
  • Phone: 608-489-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KRISTIE MCCOIC
Title or Position: ADMINISTRATOR
Credential:
Phone: 608-489-8101