{"npi":"1053392845","type":"NPI-2","status":"active","name":{"display":"Ssm Health Care Of Wisconsin, Inc.","other":[],"organization_name":"SSM HEALTH CARE OF WISCONSIN, INC.","authorised_official":"Joseph Minerath"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1600 JEFFERSON ST","city":"BARABOO","state":"WI","postal_code":"539131542","country_code":"US","phone":"6083561400"},{"purpose":"MAILING","street_1":"1802 W BELTLINE HWY","city":"MADISON","state":"WI","postal_code":"537132334","country_code":"US","phone":"6082178446"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"11022800","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"572292","state":"WI","issuer":"DEANCARE VENDOR #"},{"type_code":"01","label":"Other","value":"391023846","state":"WI","issuer":"COMMERCIAL INS PROV #"},{"type_code":"01","label":"Other","value":"1009390","state":"WI","issuer":"PHYS PLUS PROV #"},{"type_code":"01","label":"Other","value":"391023846028","state":"WI","issuer":"BLUE CROSS PROV #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-08","last_updated":"2023-01-04","_meta":{"source":"NPPES","snapshot_date":"2023-01-04","doc_url":"https://findmynpi.com/api"}}