SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE
NPI 1003258435
Durable Medical Equipment & Medical Supplies in Janesville, WI

NPI Status: Active since July 26, 2013

Contact Information

3400 E RACINE ST
JANESVILLE, WI
ZIP 53546
Phone: (608) 373-8000
Fax: (608) 314-8878

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 52D2029259
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 09-04-2026

About SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE

This page provides the complete NPI Profile along with additional information for Ssm Health St. Mary's Hospital - Janesville, a provider established in Janesville, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1003258435 assigned on July 2013. The practitioner's primary taxonomy code is 332B00000X with license number 318 (WI). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Ssm Health St. Mary's Hospital - Janesville. The authorized official of this NPI record is Joseph Minerath (System Dir Of Gov Reimbursement)

NPI
1003258435
Provider Legal Name
SSM HEALTH CARE OF WISCONSIN, INC.
Other Organization Name
SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3400 E RACINE ST JANESVILLE, WI 53546
Location Phone
(608) 373-8000
Location Fax
(608) 314-8878
Mailing Address
3400 E RACINE ST JANESVILLE, WI 53546
Mailing Phone
(608) 373-8000
Mailing Fax
(608) 314-8878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2013
Last Update Date
11-27-2023
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
318
License State
WI
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

JOSEPH MINERATH

Authorized Official Title
SYSTEM DIR OF GOV REIMBURSEMENT
Authorized Official Phone
(608) 258-6891

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
52D2029259
Facility Type
Hospital
Certificate Effective Date
September 05, 2024
Certificate Expiration Date
September 04, 2026
Laboratory Director
DR. KEVIN A. KURTZ
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ssm Health St. Mary's Hospital - Janesville 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.

Reviews for SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE

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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 1003258435, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 2 → 4 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 4 + 5 + 1 + 6 + 4 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1003258435.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist
3400 E RACINE ST
JANESVILLE, WI 53546
Occupational Therapy Assistant
3400 E RACINE ST
JANESVILLE, WI 53546
Physical Therapy Assistant
3400 E RACINE ST
JANESVILLE, WI 53546
Nurse Anesthetist, Certified Registered
3400 E RACINE ST
JANESVILLE, WI 53546
Anesthesiology
3400 E RACINE ST
JANESVILLE, WI 53546
Occupational Therapist
3400 E RACINE ST
JANESVILLE, WI 53546
General Acute Care Hospital
3400 E RACINE ST
JANESVILLE, WI 53546
Nurse Anesthetist, Certified Registered
3400 E RACINE ST
JANESVILLE, WI 53546
Nurse Practitioner
3400 E RACINE ST
JANESVILLE, WI 53546
Hospitalist
3400 E RACINE ST
JANESVILLE, WI 53546
Nurse Anesthetist, Certified Registered
3400 E RACINE ST
JANESVILLE, WI 53546
Physical Therapy Assistant
3400 E RACINE ST
JANESVILLE, WI 53546
Hospitalist
3400 E RACINE ST
JANESVILLE, WI 53546
Internal Medicine
3400 E RACINE ST
JANESVILLE, WI 53546
Hospitalist
3400 E RACINE ST
JANESVILLE, WI 53546
Anesthesiology
3400 E RACINE ST
JANESVILLE, WI 53546
Nurse Anesthetist, Certified Registered
3400 E RACINE ST
JANESVILLE, WI 53546
Nurse Anesthetist, Certified Registered
3400 E RACINE ST
JANESVILLE, WI 53546
Nurse Anesthetist, Certified Registered
3400 E RACINE ST
JANESVILLE, WI 53546
Hospitalist
3400 E RACINE ST
JANESVILLE, WI 53546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003258435, enumerated as an "organization" on July 26, 2013.

The provider is located at 3400 E RACINE ST JANESVILLE, WI 53546 and the phone number is (608) 373-8000.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.