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General NPI Number Information
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NPI Number | 1386688240
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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 | 06/15/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 700 S PARK ST
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City | MADISON
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State | WI
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Zip | 53715-1830
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Country | US
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Telephone | 608-251-6100
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Fax | 608-258-5221
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Provider Business Mailing Address
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Address Line | 700 S PARK ST
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City | MADISON
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State | WI
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Zip | 53715-1830
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Country | US
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Telephone | 608-258-6891
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Fax | 608-227-0112
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Authorized Official
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Title or Position | SYSTEM DIR OF GOV REIMBURSEMENT
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Name | JOSEPH 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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 71
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License Number State | WI
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