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

Get Directions Reviews

  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES L JOHNSON III

Authorized Official Title
SYSTEM VP/CFO
Authorized Official Phone
(608) 373-8000

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.
1548654676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881258614
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 = 66

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 Therapist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8353
1942333653MRS. LISA POLHEBER COTA
Individual
Occupational Therapy Assistant3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8353
1730208075MRS. PATRICIA MARIE SEEMAN PTA
Individual
Physical Therapy Assistant3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8352
1407124126MS. LISA K. STEWART CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 374-8000
1942259353 SCOTT E MILLER MD
Individual
Anesthesiology3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1033517677 JENNIFER SUE CANIK OT
Individual
Occupational Therapist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1598039166 BRITTANY J LYNE CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1235682964 TERESA L. NEHLS
Individual
Nurse Practitioner3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1730104076 MAHER MOURAD M.D.
Individual
Hospitalist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1003872052 LAWRENCE K BECK CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1972077808 JESSICA TREPKA HOYT PTA
Individual
Physical Therapy Assistant3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1326085648 WILLIAM K CLANFIELD MD
Individual
Hospitalist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1295860500 MARIA L FASSARI MD
Individual
Internal Medicine3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1972735785 HASSAN HAJI-ABDIRAHMAN MD
Individual
Hospitalist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1700041746 ASHLEY J. JENSEN MD
Individual
Anesthesiology3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1851355663 SANDRA M DARDIS CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1750346110 STEPHEN D MOYER CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1386687523 PAULA E GOODE CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1639243009 CHRISTINE E LANGEMO MD
Individual
Hospitalist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1699075390 BELINDA J LONG CRNA
Individual
Nurse Anesthetist, Certified Registered3400 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.