SSM HEALTH MONROE CLINIC MEDICAL GROUP
NPI 1245576347
Rehabilitation Hospital in Monroe, WI
- 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 Verify this NPI
- 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
- 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
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.
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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
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.
