| Ssm Health St Mary's Hospital - Madison | |
|
700 S Park St Madison WI 53715-1830 | |
| (608) 251-6100 | |
| (608) 258-5221 |
| Full Name | Ssm Health St Mary's Hospital - Madison |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 700 S Park St, Madison, Wisconsin |
| Authorized Official Name and Position | Joseph Minerath (SYSTEM DIR OF GOV REIMBURSEMENT) |
| Authorized Official Contact | 6082586891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health St Mary's Hospital - Madison 700 S Park St Madison WI 53715-1830 Ph: (608) 258-6891 | Ssm Health St Mary's Hospital - Madison 700 S Park St Madison WI 53715-1830 Ph: (608) 251-6100 |
| NPI Number | 1386688240 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 8527977867 |
|---|---|
| Medicare Enrollment ID | O20070824000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386688240 | NPI | - | NPPES |
| 39080639301 | Other | WV | UNITY PROVIDER NUMBER |
| 390806393026 | Other | WI | BLUE CROSS PROVIDER NUMBE |
| 5283846 | Other | WI | MEDICA PROVIDER NUMBER |
| 390806393 | Other | WI | OTHER INSURANCE PROVIDER |
| 5389107 | Other | WI | PHYSICIANS PLUS PROVIDER |
| 67 | Other | WI | DEANCARE PROVIDER NUMBER |
| A5371501 | Other | WI | JOHN DEERE PROVIDER NUMBE |
| 11022900 | Other | WI | WI MEDICAID PROVIDER NUMB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 71 (Wisconsin) | Primary |
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