SSM HEALTH MONROE HOSPITAL
NPI 1003148677
Clinic/Center - Health Service in Monroe, WI

NPI Status: Active since February 08, 2010

Contact Information

515 22ND AVENUE
MONROE, WI
ZIP 53566
Phone: (608) 324-2000

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 52D0393057
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About SSM HEALTH MONROE HOSPITAL

This page provides the complete NPI Profile along with additional information for Ssm Health Monroe Hospital, a provider established in Monroe, Wisconsin operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1003148677 assigned on February 2010. The practitioner's primary taxonomy code is 261QH0100X with license number 1128-39 (WI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Ssm Health Monroe Hospital. The authorized official of this NPI record is Ms. Brittney Margaret Hansen Lat/atc (Athletic Trainer)

NPI
1003148677
Provider Legal Name
THE MONROE CLINIC, INC.
Other Organization Name
SSM HEALTH MONROE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
515 22ND AVENUE MONROE, WI 53566
Location Phone
(608) 324-2000
Mailing Address
515 22ND AVENUE MONROE, WI 53566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2010
Last Update Date
03-16-2022
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
1128-39
License State
WI

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

MS. BRITTNEY MARGARET HANSEN LAT/ATC

Authorized Official Title
ATHLETIC TRAINER
Authorized Official Phone
(262) 224-2664

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
52D0393057
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. GABRIELA ROSA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ssm Health Monroe Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003148677, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 4 + 1 + 6 + 6 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1003148677.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
515 22ND AVENUE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Psychologist (Clinical)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Nurse Practitioner (Family)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Nurse Practitioner
515 22ND AVENUE
MONROE, WI 53566
Social Worker (Clinical)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Surgery
515 22ND AVENUE
MONROE, WI 53566
Family Medicine
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Internal Medicine (Gastroenterology)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Family Medicine (Obesity Medicine)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Occupational Therapist
515 22ND AVENUE
MONROE, WI 53566
Family Medicine
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003148677, enumerated as an "organization" on February 08, 2010.

The provider is located at 515 22ND AVENUE MONROE, WI 53566 and the phone number is (608) 324-2000.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.