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General NPI Number Information
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NPI Number | 1972591410
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH'S HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 400 WATER AVE
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City | HILLSBORO
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State | WI
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Zip | 54634-9054
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Country | US
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Telephone | 608-489-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 527
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City | HILLSBORO
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State | WI
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Zip | 54634-0527
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Country | US
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Telephone | 608-489-8000
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Fax | 608-489-8181
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Authorized Official
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Title or Position | CFO
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Name | ROBIN NELSON
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Credential |
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Telephone | 608-489-8103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1005
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License Number State | WI
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