ST. MARY'S HOSPITAL – NPI #1033152939
Clinic/Center

ST. MARY'S HOSPITAL is an AHC clinic located in FITCHBURG, WI. NPPES has assigned the NPI number 1033152939 to ST. MARY'S HOSPITAL on June 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. MARY'S HOSPITAL” is a dba name, the actual legal business name for this organization is SSM HEALTH CARE OF WISCONSIN,INC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 17 years ago on Sep 14, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. MARY'S HOSPITAL below.

NPI Profile for
SSM HEALTH CARE OF WISCONSIN,INC

NPI Number
1033152939
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SSM HEALTH CARE OF WISCONSIN,INC
Doing Business As (dba): ST. MARY'S HOSPITAL
Primary location
2840 INDEX RD
FITCHBURG, WI 53713-3117
Phone: (608) 229-7222 Fax: (608) 229-7116
Mailing address
700 S PARK ST
MADISON, WI 53715-1830
Phone: (608) 251-6100 Fax: (608) 258-5221
Organization Subpart
No
Authorized Official
MARY STARMANN-HARRISON
REGIONAL PRESIDENT/CEO
Phone: (608) 258-6121
Updated
Identifiers

Identifiers for ST. MARY'S HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS PROV NUMBERWI390806393026
OTHERDEANCARE PROVIDER NUMBERWI67
OTHERJOHN DEERE PROVIDER NUMBEWIA5371501
OTHERMEDICA PROVIDER NUMBERWI5283846
OTHEROTHER INS PROVIDER NUMBERWI390806393
OTHERPHYSICIANS PLUS PROVIDERWI5389107
OTHERUNITY PROVIDER NUMBERWI39080639301
MEDICAIDWI11022900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
WI 71

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.