SSM HEALTH TREATMENT AND RECOVERY CENTER NPI 1124094263

NPI Information

  • NPI: 1124094263
  • Provider Name: SSM HEALTH TREATMENT AND RECOVERY CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1510 JEFFERSON ST
    BARABOO, WI
    ZIP 53913
  • Phone: (608) 356-1533

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NPI Details

SSM HEALTH TREATMENT AND RECOVERY CENTER is a mental health (including community mental health center) clinic center in Baraboo, WI. SSM HEALTH TREATMENT AND RECOVERY CENTER NPI is 1124094263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1510 JEFFERSON ST
BARABOO, WI
ZIP 53913-505
Phone: (608) 356-1533

The provider's authorized official is Troy L Walker .
The authorized official title is Director Of Finance and has the following contact phone number (608) 356-1400.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 5/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2261Q00000XClinic/CenterNo
3101YP2500XCounselorProfessionalNo
4101YA0400XCounselorAddiction (Substance Use Disorder)No
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
6207R00000XInternal MedicineNo
7324500000XSubstance Abuse Rehabilitation FacilityNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11009390OTHERWISCONSINPHYS PLUS PROV #
2391023846OTHERWISCONSINCOMMERCIAL PROV #
3391023846028OTHERWISCONSINBLUE CROSS PROV #
4=========006OTHERWISCONSINTRICARE PROV #
5549696OTHERWISCONSINDC OUTPATIENT PROV #
670OTHERWISCONSINDEANCARE PROV #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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