| St. Joseph's Health Services, Inc. | |
|
400 Water Ave Hillsboro WI 54634-9054 | |
| (608) 489-8000 | |
| Not Available |
| Full Name | St. Joseph's Health Services, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 400 Water Ave, Hillsboro, Wisconsin |
| Authorized Official Name and Position | Robin Nelson (CFO) |
| Authorized Official Contact | 6084898103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Health Services, Inc. Po Box 527 Hillsboro WI 54634-0527 Ph: (608) 489-8000 | St. Joseph's Health Services, Inc. 400 Water Ave Hillsboro WI 54634-9054 Ph: (608) 489-8000 |
| NPI Number | 1972591410 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 03/29/2018 |
| Medicare PECOS PAC ID | 3971586439 |
|---|---|
| Medicare Enrollment ID | O20061104000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972591410 | NPI | - | NPPES |
| 11007400 | Medicaid | WI | |
| W002642 | Other | WI | CHAMPUS |
| 11007410 | Medicaid | WI | |
| 5919HJO | Other | WI | ATRIUM |
| 210453 | Other | WI | DEAN HEALTH PLAN |
| 5919HJO | Other | MN | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 1005 (Wisconsin) | Primary |
| Provider Name | Laura K Marchiando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568466183 PECOS PAC ID: 1759282585 Enrollment ID: I20050722000527 |
| Provider Name | Richard J Wittchow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477557122 PECOS PAC ID: 8022114669 Enrollment ID: I20110117000173 |
| Provider Name | Andrew Colburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639420888 PECOS PAC ID: 5890008825 Enrollment ID: I20150721000533 |
| Provider Name | Allison M Burbach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437508595 PECOS PAC ID: 3779879051 Enrollment ID: I20160913001347 |
| Provider Name | Jessica Ann Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366987034 PECOS PAC ID: 3577844372 Enrollment ID: I20170110003445 |
St. Joseph's Health Services - Hillsboro Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Water Ave, Hillsboro, WI 54634 Phone: 608-489-8280 Fax: 608-489-8189 | |
Gl Hillsboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Water Ave, Hillsboro, WI 54634 Phone: 608-782-7300 | |
Better Days Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Maple St, Hillsboro, WI 54634 Phone: 608-489-2141 Fax: 608-489-3569 |