SSM HEALTH ST CLARE WI DELLS CLINIC
NPI 1730637240
Clinic/Center in Wisconsin Dells, WI
NPI Status: Active since September 13, 2016
Contact Information
1310 BROADWAY
WISCONSIN DELLS, WI
ZIP 53965
Phone: (608) 253-8070
- Organization
- Clinic/Center
- CLIA Number: 52D0394199
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-02-2026
About SSM HEALTH ST CLARE WI DELLS CLINIC
This page provides the complete NPI Profile along with additional information for Ssm Health St Clare Wi Dells Clinic, a provider established in Wisconsin Dells, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1730637240 assigned on September 2016. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Ssm Health St Clare Wi Dells Clinic. The authorized official of this NPI record is Troy Walker (Director Of Finance)
- NPI
- 1730637240
- Provider Legal Name
- SSM HEALTH CARE OF WISCONSIN INC
- Other Organization Name
- SSM HEALTH ST CLARE WI DELLS CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1310 BROADWAY WISCONSIN DELLS, WI 53965
- Location Phone
- (608) 253-8070
- Mailing Address
- 1310 BROADWAY WISCONSIN DELLS, WI 53965
- Mailing Phone
- (608) 253-8070
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-13-2016
- Last Update Date
- 09-19-2016
- 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
- License State
- WI
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WD0400X | Nursing Service Providers | Registered Nurse | (WI) |
| 2 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | (WI) |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | (WI) |
| 4 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | (WI) |
| 5 | 261QR0404X | Ambulatory Health Care Facilities | Clinic/Center | (WI) |
| 6 | 332S00000X | Suppliers | Hearing Aid Equipment | (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
- 52D0394199
- Facility Type
- Physician Office
- Certificate Effective Date
- August 03, 2024
- Certificate Expiration Date
- August 02, 2026
- Laboratory Director
- JEFFREY J. MAXWELL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ssm Health St Clare Wi Dells Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1730637240, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
WISCONSIN DELLS, WI 53965
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730637240, enumerated as an "organization" on September 13, 2016.
The provider is located at 1310 BROADWAY WISCONSIN DELLS, WI 53965 and the phone number is (608) 253-8070.
Clinic/Center with taxonomy code 261Q00000X.
