SSM HEALTH MONROE HOSPITAL
NPI 1073653523
General Acute Care Hospital in Monroe, WI

NPI Status: Active since February 07, 2007

Contact Information

515 22ND AVE
MONROE, WI
ZIP 53566
Phone: (608) 324-1175
Fax: (608) 324-1214

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 52D0429733
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 11-30-2026

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 General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1073653523 assigned on February 2007. The practitioner's primary taxonomy code is 282N00000X with license number 1201-026 (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 Mrs. Sandra Nelson Otr (Occupational Therapist)

NPI
1073653523
Provider Legal Name
MONROE CLINIC
Other Organization Name
SSM HEALTH MONROE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
515 22ND AVE MONROE, WI 53566
Location Phone
(608) 324-1175
Location Fax
(608) 324-1214
Mailing Address
515 22ND AVE MONROE, WI 53566
Mailing Phone
(608) 324-1175
Mailing Fax
(608) 324-1214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2007
Last Update Date
02-22-2022
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
1201-026
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. SANDRA NELSON OTR

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(608) 324-1175

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
40620100MEDICAID (05)WI 

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
52D0429733
Facility Type
Home Health Agency
Certificate Effective Date
December 01, 2024
Certificate Expiration Date
November 30, 2026
Laboratory Director
KIMBERLY REYNOLDS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ssm Health Monroe Hospital 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.

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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 1073653523, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 7 → 14 → 5 6 → 12 → 3 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 2 + 5 + 6 + 5 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073653523.

Other Providers at the Same Location


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

Specialist/Technologist (Athletic Trainer)
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Family Medicine
515 22ND AVE
MONROE, WI 53566
Anesthesiology
515 22ND AVE
MONROE, WI 53566
Psychiatry & Neurology (Psychiatry)
515 22ND AVE
MONROE, WI 53566
Internal Medicine
515 22ND AVE
MONROE, WI 53566
Ophthalmology
515 22ND AVE
MONROE, WI 53566
Home Health
515 22ND AVE
MONROE, WI 53566
Internal Medicine (Gastroenterology)
515 22ND AVE
MONROE, WI 53566
Family Medicine
515 22ND AVE
MONROE, WI 53566
Psychiatry & Neurology (Psychiatry)
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Pediatrics
515 22ND AVE
MONROE, WI 53566
Physician Assistant
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Psychologist
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Occupational Therapist
515 22ND AVE
MONROE, WI 53566
Physical Therapist
515 22ND AVE
MONROE, WI 53566
Psychologist
515 22ND AVE
MONROE, WI 53566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073653523, enumerated as an "organization" on February 07, 2007.

The provider is located at 515 22ND AVE MONROE, WI 53566 and the phone number is (608) 324-1175.

General Acute Care Hospital with taxonomy code 282N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.