ST MARYS JANESVILLE HOSPITAL EMERGENCY SERVICES
NPI 1548654676
General Acute Care Hospital in Janesville, WI
NPI Status: Active since March 26, 2015
Contact Information
3400 E RACINE ST
JANESVILLE, WI
ZIP 53546
Phone: (608) 373-8000
- Organization
- General Acute Care Hospital
- CLIA Number: 52D2296278
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-25-2025
About ST MARYS JANESVILLE HOSPITAL EMERGENCY SERVICES
This page provides the complete NPI Profile along with additional information for St Marys Janesville Hospital Emergency Services, a provider established in Janesville, Wisconsin operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1548654676 assigned on March 2015. The practitioner's primary taxonomy code is 282N00000X with license number 318 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is St Marys Janesville Hospital Emergency Services. The authorized official of this NPI record is Charles L Johnson Iii (System Vp/cfo)
- NPI
- 1548654676
- Provider Legal Name
- SSM HEALTH CARE OF WISCONSIN INC
- Other Organization Name
- ST MARYS JANESVILLE HOSPITAL EMERGENCY SERVICES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3400 E RACINE ST JANESVILLE, WI 53546
- Location Phone
- (608) 373-8000
- Mailing Address
- 3400 E RACINE ST JANESVILLE, WI 53546
- Mailing Phone
- (608) 373-8000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-26-2015
- Last Update Date
- 03-26-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 318
- License State
- WI
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2296278
- Facility Type
- Physician Office
- Certificate Effective Date
- December 26, 2023
- Certificate Expiration Date
- December 25, 2025
- Laboratory Director
- EVA M. KING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Marys Janesville Hospital Emergency Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ST MARYS JANESVILLE HOSPITAL EMERGENCY SERVICES
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 6 | 5 | 4 | 6 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 12 | 5 | 8 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 2 + 5 + 8 + 6 + 1 + 4 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1548654676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710023163 | GAYLE A ROLLMANN OTR Individual | Occupational Therapist | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8353 |
| 1942333653 | MRS. LISA POLHEBER COTA Individual | Occupational Therapy Assistant | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8353 |
| 1730208075 | MRS. PATRICIA MARIE SEEMAN PTA Individual | Physical Therapy Assistant | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8352 |
| 1407124126 | MS. LISA K. STEWART CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 374-8000 |
| 1942259353 | SCOTT E MILLER MD Individual | Anesthesiology | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1033517677 | JENNIFER SUE CANIK OT Individual | Occupational Therapist | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1598039166 | BRITTANY J LYNE CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1235682964 | TERESA L. NEHLS Individual | Nurse Practitioner | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1730104076 | MAHER MOURAD M.D. Individual | Hospitalist | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1003872052 | LAWRENCE K BECK CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1972077808 | JESSICA TREPKA HOYT PTA Individual | Physical Therapy Assistant | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1326085648 | WILLIAM K CLANFIELD MD Individual | Hospitalist | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1295860500 | MARIA L FASSARI MD Individual | Internal Medicine | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1972735785 | HASSAN HAJI-ABDIRAHMAN MD Individual | Hospitalist | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1700041746 | ASHLEY J. JENSEN MD Individual | Anesthesiology | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1851355663 | SANDRA M DARDIS CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1750346110 | STEPHEN D MOYER CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1386687523 | PAULA E GOODE CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1639243009 | CHRISTINE E LANGEMO MD Individual | Hospitalist | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 373-8000 |
| 1699075390 | BELINDA J LONG CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 E RACINE ST JANESVILLE, WI 53546 (608) 251-6100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548654676, enumerated in the NPI registry as an "organization" on March 26, 2015
The provider is located at 3400 E Racine St Janesville, Wi 53546 and the phone number is (608) 373-8000
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider's CLIA number is 52D2296278 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.