ST. JOSEPH'S HEALTH SERVICES - HILLSBORO CLINIC
NPI 1104031798
Clinic/Center in Hillsboro, WI
NPI Status: Active since May 14, 2007
Contact Information
400 WATER AVE
HILLSBORO, WI
ZIP 54634
Phone: (608) 489-8280
Fax: (608) 489-8189
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 52D0396392
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About ST. JOSEPH'S HEALTH SERVICES - HILLSBORO CLINIC
This page provides the complete NPI Profile along with additional information for St. Joseph's Health Services - Hillsboro Clinic, a provider established in Hillsboro, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104031798 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is St. Joseph's Health Services - Hillsboro Clinic. The authorized official of this NPI record is Ms. Pamela K Dewitt (Cfo)
- NPI
- 1104031798
- Provider Legal Name
- ST. JOSEPH'S HEALTH SERVICES, INC.
- Other Organization Name
- ST. JOSEPH'S HEALTH SERVICES - HILLSBORO CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 400 WATER AVE HILLSBORO, WI 54634
- Location Phone
- (608) 489-8280
- Location Fax
- (608) 489-8189
- Mailing Address
- PO BOX 527 HILLSBORO, WI 54634
- Mailing Phone
- (608) 489-8280
- Mailing Fax
- (608) 489-8189
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2007
- Last Update Date
- 07-22-2011
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 10000 - HMO
- HMO Bronze 7500 - HMO
- HMO Catastrophic 10600 with 3 free PCP visits - HMO
- HMO Gold 2000 - HMO
- HMO Gold 2700 - HMO
- HMO HDHP Silver 5900 - HMO
- HMO Silver 6000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- NE WI Select $3,150 Plus Silver - PPO
- NE WI Select $3,800 HSA Silver - PPO
- NE WI Select $6,000 Standard Silver - PPO
- NE WI Select $6,800 Plus Bronze HSA - PPO
- NE WI Select $7,500 Standard Bronze HSA - PPO
- NE WI Select $8,400 HSA Bronze - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
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.
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.
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 |
|---|---|---|---|
| 11007410 | MEDICAID (05) | WI | |
| =========010 | OTHER (01) | WI | ANTHEM BCBS |
| =========-27 | OTHER (01) | WI | UNITY |
| 0000000429 | MEDICARE OSCAR/CERTIFICATION (06) | WI | |
| 78B97J0 | OTHER (01) | WI | ATRIUM COMMERCIAL |
| P10 | OTHER (01) | WI | DEAN HEALTH PLAN |
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
- 52D0396392
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. SEAN A. AGGER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to St. Joseph's Health Services - Hillsboro Clinic 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 1104031798, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HILLSBORO, WI 54634
HILLSBORO, WI 54634
HILLSBORO, WI 54634
HILLSBORO, WI 54634
HILLSBORO, WI 54634
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104031798, enumerated as an "organization" on May 14, 2007.
The provider is located at 400 WATER AVE HILLSBORO, WI 54634 and the phone number is (608) 489-8280.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Aspirus Health Plan, HealthPartners, Quartz,. Please consult your insurance carrier or call the provider to verify.
