SSM HEALTH MONROE CLINIC MEDICAL GROUP
NPI 1245576347
Rehabilitation Hospital in Monroe, WI

NPI Status: Active since December 17, 2012

Contact Information

515 22ND AVE
MONROE, WI
ZIP 53566
Phone: (608) 324-1309

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  • Organization
  • Rehabilitation Hospital
  • CLIA Number: 14D0429729
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-21-2026

About SSM HEALTH MONROE CLINIC MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Ssm Health Monroe Clinic Medical Group, a provider established in Monroe, Wisconsin operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1245576347 assigned on December 2012. The practitioner's primary taxonomy code is 283X00000X with license number 070019334 (IL). 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 Clinic Medical Group. The authorized official of this NPI record is Eric Katzenberger (Rehab Coach)

NPI
1245576347
Provider Legal Name
MONROE CLINIC
Other Organization Name
SSM HEALTH MONROE CLINIC MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
515 22ND AVE MONROE, WI 53566
Location Phone
(608) 324-1309
Mailing Address
515 22ND AVE MONROE, WI 53566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2012
Last Update Date
02-23-2022
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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

Rehabilitation Hospital

Taxonomy Code
283X00000X
Type
Hospitals
License No.
070019334
License State
IL
Taxonomy Description
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

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

ERIC KATZENBERGER

Authorized Official Title
REHAB COACH
Authorized Official Phone
(608) 324-1309

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
14D0429729
Facility Type
Physician Office
Certificate Effective Date
March 22, 2024
Certificate Expiration Date
March 21, 2026
Laboratory Director
AMY L. LECLAIR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ssm Health Monroe Clinic Medical Group 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 1245576347, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
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 4 → 8 5 → 10 → 1 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 1 + 0 + 7 + 1 + 2 + 3 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1245576347.

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 1245576347, enumerated as an "organization" on December 17, 2012.

The provider is located at 515 22ND AVE MONROE, WI 53566 and the phone number is (608) 324-1309.

Rehabilitation Hospital with taxonomy code 283X00000X.