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General NPI Number Information
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NPI Number | 1194004408
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Entity Type | Organization
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Legal Business Name | SSM HEALTH CARE OF WISCONSIN, INC.
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 3400 E RACINE ST
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City | JANESVILLE
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State | WI
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Zip | 53546-2344
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Country | US
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Telephone | 608-373-8000
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Fax | 608-314-8878
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Provider Business Mailing Address
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Address Line | 3400 E RACINE ST
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City | JANESVILLE
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State | WI
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Zip | 53546-2344
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Country | US
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Telephone | 608-373-8000
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Fax | 608-314-8878
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Authorized Official
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Title or Position | SYSTEM DIRECTOR GOV'T REIMBURSEMENT
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Name | JOSEPH R MINERATH
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Credential |
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Telephone | 608-445-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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